Liquid pharmaceutical composition

ABSTRACT

The present invention relates to novel liquid pharmaceutical compositions of adalimumab, which include adalimumab or a biosimilar thereof, arginine and/or methionine, and a small polyol stabiliser such as glycerol. Such a combination of components furnishes formulations having a stability (e.g. on storage and when exposed to stress) which is comparable to or an improvement upon those known in the art, and with fewer ingredients. Such advances will help adalimumab treatments to become more widely available at lower cost, and prolong the viability of pre-loaded delivery devices (e.g. pre-filled syringes) to reduce unnecessary waste of the drug.

INTRODUCTION

The present invention relates to a novel protein formulation. Inparticular, the invention relates to a liquid pharmaceutical compositionof adalimumab, to a method of manufacturing the composition, to a kitincluding the composition, to a package including the composition, to amethod of manufacturing the package, and to methods of treatment usingthe composition and/or package.

BACKGROUND

Treatment of tumour necrosis factor-alpha (TNF-α)-related autoimmunediseases, such as rheumatoid arthritis, psoriasis and other autoimmunediseases, has been archieved through the use of FDA-approved drugs suchas Adalimumab (HUMIRA®, Abbott Corporation). Adalimumab is a humanmonoclonal antibody that inhibits human TNF-α activity so as to preventit from activating TNF receptors, thereby downregulating inflammatoryresponses associated with autoimmune diseases. Approved medicalindications for Adalimumab include rheumatoid arthritis, psoriaticarthritis, ankylosing spondylitis, Crohn's disease, ulcerative colitis,moderate to severe chronic psoriasis and juvenile idiopathic arthritis.

Adalimumab is generally delivered to a patient via subcutaneousinjection, and is thus provided in a liquid form, typically in packagessuch as vials, preloaded syringes, or preloaded “pen devices”.Commercially available pen devices (HUMIRA® Pen) generally include a 1mL pre-filled glass syringe, preloaded with 0.8 mL of a sterileformulation of 40 mg Adalimumab (see below), with a fixed needle (eithergray natural rubber or a latex free version) and a needle cover.Commercial formulations (HUMIRA®) of Adalimumab contain the followingingredients:

Amount per container (mg) (filling Amount Ingredient volume = 0.8 mL)(mg/mL) Adalimumab 40 50 Citric Acid 1.04 1.3 Monohydrate Dibasic sodium1.22 1.53 phosphate dihydrate Mannitol 9.6 12 Monobasic sodium 0.69 0.86phosphate dihydrate Polysorbate 80 0.8 1 Sodium chloride 4.93 6.16Sodium citrate 0.24 0.3 WFI and sodium q.b. to adjust q.b. to adjusthydroxide pH to 5.2 pH to 5.2

Moreover, a prefilled syringe or pen which provides either 40 mg/0.4 mLor 80 mg/80 mL (i.e. 100 mg/mL) of Adalimumab has recently beencommercialised. The formulations contain the following ingredients:

40 mg/0.4 mL 80 mg/80 mL Amount per Amount per Ingredient 0.4 mL 0.8 mLAdalimumab 40 mg 80 mg Mannitol 16.8 mg 33.6 mg Polysorbate 80 0.4 mg0.8 mg Water for injection USP q.s. q.s.

Adalimumab, and its method of manufacture, is described in WO97/29131(BASF) as D2E7, and elsewhere in the art.

Though the aforementioned commercial formulation of Adalimumab is stable(at least to some extent), the relevant antibody may be unstable overprolonged periods or under stressed conditions, thus precludingprolonged storage of said formulations. Such degradation of theformulation may be due to a variety of factors, including:

-   -   Physical effects, such as:        -   Inadequate inhibition of aggregation of the relevant protein            molecules (a function supposedly served by Tween 80,            particularly if aggregation occurs at the liquid/air            interface);        -   Inadequate inhibition of precipitation;        -   Inadequate inhibition of adsorption of the relevant protein            molecules at the interface of water and air or at the            contact surface of any packaging material (a function            supposedly served by Tween 80);        -   Inadequate inhibiition of protein unfolding;        -   Inadequate regulation of osmotic pressure (a function            supposedly served by mannitol);    -   Chemical effects, such as:        -   Inadequate regulation of oxidation (a function supposedly            served by mannitol and potentially undermined by Tween 80,            which can promote oxidation of double bonds);        -   Inadquate inhibition of photo-oxidation;        -   Inadquate inhibition of hydrolysis of ester bonds leading to            the formation of acid, aldehyde and peroxide products, thus            affecting the stability of the antibody;        -   Inadequate stabilisation and maintenance of pH;        -   Inadequate inhibition of protein fragmentation;        -   Inadequate inhibition of deamidation, cyclic imide formation            or isomerisation.

Any, some, or all of the above factors can lead to either an unviabledrug product (which may be unsafe for use in medical treatments) or adrug product whose viability is variable and unpredictable, especiallyin view of the variable stresses (agitation, heat, light) differentbatches of drug product may be exposed to during manufacture, transport,and storage.

In terms of the physical and chemical stabilisation of Adalimumab, thecomplex array of components within the aforementioned commercialformulations appears to perform below expectations, especially in viewof the large number of components. Though this particular combination ofexcipients undoubtably represents a ‘delicate balance’ (given theinterplay between various technical factors) and was the result ofextensive research and development, in view of the risk ofunderperformance it is questionable whether such a large number ofdifferent excipients is justified, especially given that this inevitablyincreases processing and cost burdens, toxicity risks, and risks ofdeleterious interactions between components that could compromise theformulation. Even if the overall performance of the commercialformulations could not be surpassed, an alternative formulation havingcomparative performance but containing few components would represent ahighly desirable replacement for the commercial formulations, for atleast the aforesaid reasons.

In order to guarantee reproducible clinical performance of aprotein-based pharmaceutical product, such products must remain in astable and consistent form over time. It is well-established thatmolecular alterations can occur during every stage of the manufacturingprocess, including during the production of the final formulation andduring storage. Molecular alterations can modifty a quality attribute ofa biopharmaceutical product, resulting in an undesirable change in theidentity, strength or purity of the product. Some such problems areoutlined above.

The primary goal of formulation development is to provide apharmaceutical composition that will support the stability of abiopharmaceutical protein during all stages of its production, storage,shipping and use. Another goal for formulations that are meant forsubcutaneous administration is to reduce injection pain. Formulationdevelopment for an innovative biopharmaceutical protein, or a biosimilarmonoclonal antibody (mAb), is essential to its safety, clinical efficacyand commercial success.

There is therefore a need for the provision of alternative or improvedliquid formulations of adalimumab. Desirably, any new formulations wouldsolve at least one of the aforementioned problems and/or at least oneproblem inherent in the prior art, and may suitably solve two or more ofsaid problems. Desirably, the problem(s) of the prior art may be solvedwhilst reducing the complexity of the formulation.

SUMMARY OF THE INVENTION

During extensive research into the complex area of antibodyformulations, the present inventors realised that liquid formulations,of adalimumab in particular, could be stabilized by the addition ofeither arginine or methionine. Since individual amino acids tend tointeract with a given protein molecule in their own unique manner (be itstabilizing or destabilizing to the given protein), predictingstabilizing or destabilizing effects of combinations of amino acids canbe extremely difficult, even where the effects of individual amino acidsof the combination are known. It was therefore surprising to the presentinventors that the addition of a combination of both arginine andmethionine to adalimumab formulations imparts a significant stabilizingeffect, suggesting an unpredictable positive synergy between the twoamino acids in this particular context. The inventors were furthersurprised to discover the adalimumab formulation stability could be yetfurther increased through inclusion of a small polyol, e.g., a polyolhaving 2 to 6 carbon atoms, such as glycerol.

The formulations of the invention are stable even at high concentrationsof adalimumab (e.g., 100 mg/ml). Therefore, the new formulations permitadministration of high amounts (e.g., effective amounts) of antibody insmaller volumes as compared to the aforementioned commercial adalimumabformulation, thereby decreasing pain.

In particular, the present invention provides the following embodiments:

-   -   1. A liquid pharmaceutical composition comprising:        -   (a) adalimumab;        -   (b) arginine;    -    wherein the composition further comprises either or both        methionine and/or a polyol; wherein the polyol is a C2-C6        polyol, suitably comprising at most five hydroxyl groups,        suitably 2-3 hydroxyl groups.    -   2. A liquid pharmaceutical composition comprising:        -   (a) adalimumab;        -   (b) methionine;    -    wherein the composition further comprises either or both        arginine and/or a polyol; wherein the polyol is a C2-C6 polyol,        suitably comprising at most five hydroxyl groups, suitably 2-3        hydroxyl groups.    -   3. A liquid pharmaceutical composition comprising:        -   (a) adalimumab;        -   (b) a polyol;    -    wherein the composition further comprises either or both        methionine and/or arginine; wherein the polyol is a C2-C6        polyol, suitably comprising at most five hydroxyl groups,        suitably 2-3 hydroxyl groups.    -   4. A liquid pharmaceutical composition comprising:        -   (a) adalimumab;        -   (b) arginine;        -   (c) methionine; and        -   (d) a C2-C6 polyol.    -   5. The liquid pharmaceutical composition according to item 4,        wherein the polyol is a C2-C4 polyol.    -   6. The liquid pharmaceutical composition according to item 5,        wherein the C2-C4 polyol is glycerol.    -   7. The liquid pharmaceutical composition according to any one of        items 1 to 6, wherein the composition further comprises a buffer        system.    -   8. The liquid pharmaceutical composition according to item 7,        wherein the buffer system is an acetate buffer system.    -   9. The liquid pharmaceutical composition according to any one of        items 1 to 8, comprising 25 to 125 mg/ml adalimumab.    -   10. The liquid pharmaceutical composition according to item 4        comprising:        -   (a) adalimumab;        -   (b) arginine;        -   (c) methionine;        -   (d) a C2-C6 polyol;        -   (e) a buffer system;        -   (f) a surfactant; and        -   (g) optionally a tonicifier;    -    wherein the composition has a pH between 4.0 and 6.0.    -   11. The liquid pharmaceutical composition according to item 10        comprising:        -   (a) adalimumab;        -   (b) arginine;        -   (c) methionine;        -   (d) a C2-C4 polyol;        -   (e) an acetate buffer system;        -   (f) a non-ionic surfactant; and        -   (g) optionally sodium chloride (though suitably at most 40            mM thereof);    -    wherein the composition has a pH between 4.8 and 5.4.    -   12. The liquid pharmaceutical composition according to item 11        comprising, consisting essentially of, or consisting of:        -   (a) 25-125 mg/ml adalimumab;        -   (b) 50-70 mM L-arginine;        -   (c) 20-40 mM L-methionine;        -   (d) 100-150 mM glycerol and/or propylene glycol;        -   (e) 5-10 mM (sodium) acetate buffer;        -   (f) 20-40 mM sodium chloride; and        -   (g) 0.5-2 mg/ml polysorbate 20 or poloxamer 188;    -    wherein the composition has a pH between 4.8 and 5.3.    -   13. The liquid pharmaceutical composition according to item 12        comprising, consisting essentially of, or consisting of:        -   (a) 100 mg/ml adalimumab;        -   (b) 60 mM L-arginine;        -   (c) 30 mM L-methionine;        -   (d) 130 mM glycerol and/or propylene glycol;        -   (e) 8 mM (sodium) acetate buffer;        -   (f) 30 mM sodium chloride; and        -   (g) 1 mg/ml polysorbate 20 or poloxamer 188;    -    wherein the composition has a pH of 5.0 (optionally +/−0.5).    -   14. The liquid pharmaceutical composition according to item 11        comprising, consisting essentially of, or consisting of:        -   (a) 25-125 mg/ml adalimumab;        -   (b) 50-70 mM L-arginine;        -   (c) 20-40 mM L-methionine;        -   (d) 100-150 mM glycerol and/or propylene glycol;        -   (e) 5-10 mM (sodium) acetate buffer; and        -   (f) 0.5-2 mg/ml polysorbate 20 or poloxamer 188;    -    wherein the composition has a pH between 4.9 and 5.4.    -   15. The liquid pharmaceutical composition according to item 14        comprising, consisting essentially of, or consisting of:        -   (a) 100 mg/ml adalimumab;        -   (b) 60 mM L-arginine;        -   (c) 30 mM L-methionine;        -   (d) 130 mM glycerol and/or propylene glycol;        -   (e) 8 mM (sodium) acetate buffer; and        -   (f) 1 mg/ml polysorbate 20 or poloxamer 188;    -    wherein the composition has a pH of 5.2 (optionally +/−0.2).    -   16. A drug delivery device comprising a liquid pharmaceutical        composition as defined in any preceding item.    -   17. A liquid pharmaceutical composition as defined in any of        items 1 to 15 for use in in the treatment of a disease or        disorder.    -   18. A liquid pharmaceutical composition as defined in any of        items 1 to 15 for use in the treatment of rheumatoid arthritis,        psoriatic arthritis, ankylosing spondylitis, Crohn's disease,        ulcerative colitis, psoriasis, hidradenitis suppurativa, uveitis        and/or juvenile idiopathic arthritis.    -   19. A method of manufacturing a liquid pharmaceutical        composition, the method comprising mixing together adalimumab,        arginine, methionine and a C2-C6 polyol.    -   20. A solid composition obtainable by freeze-drying a liquid        pharmaceutical composition as defined in any of items 1 to 15.    -   21. The liquid pharmaceutical composition according to item 14        or 15, wherein the composition is free of, substantially free        of, or comprises at most 40 mM of a tonicifier.

Any features, including optional, suitable, and preferred features,described in relation to any particular aspect of the invention may alsobe features, including optional, suitable and preferred features, of anyother aspect of the present invention.

DETAILED DESCRIPTION OF THE INVENTION Definitions

Unless otherwise stated, the following terms used in the specificationand claims have the following meanings set out below.

References herein to “adalimumab” include the originator drug substance(as commercially available), adalimumab as defined in WO97/29131 (BASF)(particularly D2E7 therein) and elsewhere in the art, and alsobiosimilars thereof. D2E7 of WO97/29131 “has a light chain CDR3 domaincomprising the amino acid sequence of SEQ ID NO: 3 and a heavy chainCDR3 domain comprising the amino acid sequence of SEQ ID NO: 4”.Preferably, the D2E7 antibody has a light chain variable region (LCVR)comprising the amino acid sequence of SEQ ID NO: 1 and a heavy chainvariable region (HCVR) comprising the amino acid sequence of SEQ ID NO:2. WO97/29131 gives details of each of these sequence listings.References herein to “adalimumab” may include biosimilars which, forinstance, may share at least 75%, suitably at least 80%, suitably atleast 85%, suitably at least 90%, suitably at least 95%, suitably atleast 96%, suitably at least 97%, suitably at least 98% or most suitablyat least 99% protein sequence identity with any one of protein sequencesdisclosed in either WO97/29131 (especially in relation to D2E7) orelsewhere in relation to “adalimumab”. Alternatively or additionally,references herein to “adalimumab” may include biosimilars which exhibitat least 75%, suitably at least 80%, suitably at least 85%, suitably atleast 90%, suitably at least 95%, suitably at least 96%, suitably atleast 97%, suitably at least 98% or most suitably at least 99% proteinsequence homology with any one of protein sequences disclosed in eitherWO97/29131 (especially in relation to D2E7) or elsewhere in relation to“adalimumab”. Alternatively or additionally, a biosimilar may have a(slightly) different glycosylation profile, even if the protein sequenceis substantially the same or different to the extent specified above.

The term “biosimilar” (also known as follow-on biologics) is well knownin the art, and the skilled person would readily appreciate when a drugsubstance would be considered a biosimilar of adalimumab. Furthermore,such “biosimilars” would need to be officially approved as a“biosimilar” for marketing before said “biosimilar” is sold on the openmarket. The term “biosimilar” is generally used to describe subsequentversions (generally from a different source) of “innovatorbiopharmaceutical products” (“biologics” whose drug substance is made bya living organisim or devived from a living organism or throughrecombinant DNA or controlled gene expression methodologies) that havebeen previously officially granted marketing authorisation. Sincebiologics have a high degree of molecular complexity, and are generallysensitive to changes in manufacturing processes (e.g. if different celllines are used in their production), and since subsequent follow-onmanufacturers generally do not have access to the originator's molecularclone, cell bank, know-how regarding the fermentation and purificationprocess, nor to the active drug substance itself (only the innovator'scommercialized drug product), any “biosimilar” is unlikely to be exactlythe same as the innovator drug product.

For the purposes of various molar calculatations (e.g. for molar ratiosbetween adalimumab and another component of the liquid pharmaceuticalcomposition of the invention) the molecular weight of adalimumab may betaken to be 144190.3 g/mol (reference molecular weight) based on detailsdisclosed on the CAS database for CAS #331731-18-1, Adalimumab, wherethe molecular formula is taken as C6428H9912N1694O1987S46. As such, aliquid pharmaceutical composition containing 50 mg/mL adalimumab may beconsidered a 0.347 mM (or 347 μM) solution of adalimumab. This is notintended to be in any way limiting regarding the nature of anybiosimilars of adalimumab covered by the scope of the present invention,nor the level of glycosylation, either of which may effect the actualmolecular weight. However, where a biosimilar does have a differentmolecular weight, the abovementioned reference molecular weight shouldbe suitably used for the purposes of assessing whether or not such abiosimilar falls within the scope of any molar definitions stipulatedwithin this specification. So the number of moles in a known weight ofsaid biosimilar should be calculated, just for the purposes of thisinvention, using the above reference molecular weight.

Herein, the term “buffer” or “buffer solution” refers to a generallyaqueous solution comprising a mixture of an acid (usually a weak acid,e.g. acetic acid, citric acid, imidazolium form of histidine) and itsconjugate base (e.g. an acetate or citrate salt, for example, sodiumacetate, sodium citrate, or histidine) or alternatively a mixture of abase (usually a weak base, e.g. histidine) and its conjugate acid (e.g.protonated histidine salt). The pH of a “buffer solution” will changevery only slightly upon addition of a small quantity of strong acid orbase due to the “buffering effect” imparted by the “buffering agent”.

Herein, a “buffer system” comprises one or more buffering agent(s)and/or an acid/base conjugate(s) thereof, and more suitably comprisesone or more buffering agent(s) and an acid/base conjugate(s) thereof,and most suitably comprises one buffering agent only and an acid/baseconjugate thereof. Unless stated otherwise, any concentrationsstipulated herein in relation to a “buffer system” (i.e. a bufferconcentration) suitably refers to the combined concentration of thebuffering agent(s) and/or acid/base conjugate(s) thereof. In otherwords, concentrations stipulated herein in relation to a “buffer system”suitably refer to the combined concentration of all the relevantbuffering species (i.e. the species in dynamic equilibrium with oneanother, e.g. acetate/acetic acid). As such, a given concentration of anacetate buffer system generally relates to the combined concentration ofacetate (or acetate salt(s), e.g. sodium acetate) and acetic acid. Theoverall pH of the composition comprising the relevant buffer system isgenerally a reflection of the equilibrium concentration of each of therelevant buffering species (i.e. the balance of buffering agent(s) toacid/base conjugate(s) thereof).

Herein, the term “buffering agent” refers to an acid or base component(usually a weak acid or weak base) of a buffer or buffer solution. Abuffering agent helps maintain the pH of a given solution at or near toa pre-determined value, and the buffering agents are generally chosen tocomplement the pre-determined value. A buffering agent is suitably asingle compound which gives rise to a desired buffering effect,especially when said buffering agent is mixed with (and suitably capableof proton exchange with) an appropriate amount (depending on thepre-determined pH desired) of its corresponding “acid/base conjugate”,or if the required amount of its corresponding “acid/base conjugate” isformed in situ—this may be achieved by adding strong acid or base untilthe required pH is reached. By way of example:

-   -   An acetate “buffering agent” is suitably an acetate salt, for        example, sodium acetate, suitably mixed with its acid/base        conjugate, acetic acid. Such a buffer system may be formed by        simply mixing a given amount of sodium acetate with a given        amount of acetic acid (or indeed another acid, e.g. HCl).        Alternatively, however, such a buffer may be formed by adding a        given amount of a base, suitably a strong base (e.g. sodium        hydroxide) to the acetic acid until the desired pH (and thus the        desired balance of sodium acetate/acetic acid) is reached.        Herein, except where the contrary is stated, any concentrations        given in relation to an acetate buffer or acetate buffering        agent suitably refer to the combined concentration of the        buffering agent(s) (e.g. sodium acetate) and/or acid/base        conjugate(s) thereof (e.g. acetic acid). The skilled person is        readily able to calculate such concentrations. Such        concentrations may be calculated by reference to the combined        concentrations of buffering agent(s) and acid/base conjugate(s),        where a buffer system is formed by simply mixing together        buffering agent(s) and acid/base conjugate(s). Alternatively,        where a buffer system is formed by mixing either the buffering        agent(s) or acid/base conjugate(s) with a pH adjuster (e.g.        strong acid or strong base) to produce a mixture of each,        suitably such concentrations may be calculated by reference to        the starting amounts/concentrations of the buffering agent(s) or        acid/base conjugate(s) respectively. For example, where a buffer        system is formed using a known amount/concentration of acetic        acid which is mixed with a pH adjuster (e.g. sodium hydroxide)        until the desired pH is reached, the concentration of the buffer        system may be calculated by reference to the initial amount of        acetic acid.

Herein, an “acid/base conjugate” refers to the conjugate acid orconjugate base (whichever is relevant at a particular pH—typically theconjugate acid in the context of the present invention) of a particular“buffering agent”. The acid/base conjugate of an acetate buffering agent(e.g. sodium acetate) is suitably acetic acid.

Herein, the term “buffering species” refers to the particular species(excluding any associated counteranions or countercations—i.e. ignoresodium ions for sodium acetate/acetic acid systems) of a given buffersystem which are in dynamic equilibrium with (and proton-exchange with)one another. For example, acetate anions and acetic acid togetherconstitute the “acetate buffering species” of a “acetate buffer system”.

Since it is somewhat difficult to define quantities (whether absolute orrelative) of a buffer system by reference to weight (since the totalweight will depend on the desired pH, which will affect the amount ofcounterions present), herein weight-based quantities may instead bedetermined by reference to a theoretical weight of the relevant“buffering species”. At least two species are present in any given setof “buffering species” (in relative amounts that can only be determinedby reference to the pH), each with a different molecular weight (whichusually differs by just 1). Therefore, to enable viable weightcalculations and references, for the purposes of this specification theweight of any given set of “buffering species” is given as a theoreticalweight based on just one of the buffering species, namely the mostacidic of the buffering species (i.e. the most protonated form at anygiven pH). So the weight of a given set of “buffering species” is quotedas the weight of acid-species equivalents. By way of example, in anacetate buffer system the acetate buffering species may consist ofacetate anions (ignore countercations) and acetic acid. The weight ofthe “buffering species” is therefore calculated as if acetic acid wasthe only species present in the buffer system (even though acetate isclearly present alongside acetic acid). Thus, any reference to a weightor weight ratio involving a “acetate buffering species” suitably refersto the theoretical weight of acetic acid equivalents within the buffersystem. As such, where a composition is formed by adding a pH adjuster(e.g. sodium hydroxide) to a fixed amount of acetic acid, the originalweight of acetic acid may be considered to be the weight of the“buffering species” regardless of the ultimate pH. Alternatively, if theconcentration (i.e. molarity) of a buffer system is known, this can beconverted into a weight of “buffering species” by reference to themolecular weight of the most acidic form of the relevant bufferingspecies (e.g. acetic acid), and ignoring the fact that acetate anionsare also present.

Unless stated otherwise, references herein to an “amino acid” or “aminoacids”, whether specific (e.g. arginine, histidine) or general (e.g. anyamino acid), in the context of their presence or otherwise withincompositions (especially pharmaceutical liquid compositions of theinvention) relate to the corresponding free amino acid(s) (regardless ofits/their protonation state and/or salt form, though for consistencyamounts are suitably calculated by reference to the free amino acid perse). This may suitably include natural and/or artificial amino acids.Unless stated to the contrary, such references are not intended torelate to amino acid residue(s) covalently incorporated as part of alarger compound (as opposed to a composition comprising multiplecompounds), such as a peptide or protein (where such amino acid residuesare linked via peptide bonds). As such, though adalimumab, as a protein,contains amino acid residues, it is not considered to comprise any “freeamino acid(s)”. By way of example, a composition defined as being “freeof arginine” does not contain any free arginine but it may still includeone or more proteins (e.g. adalimumab) which do themselves comprisearginine residues.

Unless stated otherwise, references herein to any one or more “aminoacids”, whether specific or general, suitably relate to theL-stereoisomers or a racemate thereof, most suitably L-amino acids.

Herein, in the context of the present specification, a “strong acid” issuitably one having a pK_(a) of −1.0 or less, whereas a “weak acid” issuitably one having a pK_(a) of 2.0 or more. Herein, in the context ofthe present specification, a “strong base” is suitably one whoseconjugate acid has a pK_(a) of 12 or higher (suitably 14 or higher),whereas a “weak base” is suitably one whose conjugate acid has a pK_(a)of 10 or less.

Herein, a “stabiliser” refers to a component which facilitatesmaintainance of the structural integrity of the biopharmaceutical drug,particularly during freezing and/or lyophilization and/or storage(especially when exposed to stress). This stabilising effect may arisefor a variety of reasons, though typically such stabilisers may act asosmolytes which mitigate against protein denaturation. Typicalstabilisers include amino acids (i.e. free amino acids not part of apeptide or protein—e.g. glycine, arginine, histidine, aspartic acid,lysine) and sugar stabilisers, such as a sugar polyol (e.g. mannitol,sorbitol), though the liquid pharmaceutical compositions of theinvention include methionine, arginine and a C2-C6 polyol asstabilisers.

Herein, a “polyol” is a substance with multiple hydroxyl groups, andincludes sugars (reducing and nonreducing sugars), sugar alcohols andsugar acids. Suitably, the polyol is a sugar alcohol.

Herein, the type, size, and/or nature of any given “polyol” may bedefined by reference to a number of carbon atoms contained within themolecular structure of the polyol. As such, generic references to aC[x]—C[y] polyol (or analogously to a (x-yC) polyol)) are suitablyreferences to a polyol containing between x and y carbon atoms. By wayof example, a C2-C3 polyols would suitably include ethylene glycol (C2),propylene glycol (C3), and glycerol (C3). A C6 polyol may suitablyinclude mannitol. The number and arrangements of other atoms, such ashydrogen and oxygen atoms, are not necessarily constrained in anyspecific manner by the stipulated carbon chain length. In addition tospecifying a number of carbon atoms contained within a given polyol, apolyol may be defined by reference to the number of hydroxyl groups. Forinstance, a C2-C3 polyol comprising three hydroxyl groups suitablyincludes glycerol (which has three hydroxyl groups) but excludesethylene glycol and propylene glycol (each of which have only twohydroxyl groups). A polyol may also be defined generically by referenceto a maximum number of hydroxyl groups. For instance, a C2-C6 polyolcomprising at most 5 hydroxyl groups is by definition a polyol havingbetween 2 and 5 hydroxyl groups.

Herein, a “non-reducing sugar” is generally a sugar without any aldehydemoieties or without the capability of forming an aldehyde moiety (e.g.through isomerism).

Herein, a “tonicity modifier” or “tonicifier” refers to a reagent whoseinclusion within a composition suitably contributes to (or increases)the overall osmolality and osmolarity of the composition. Suitably, atonicifier, as used herein includes an agent which functions to render asolution similar in osmotic characteristics to physiologic fluids.

Herein, references to specific amounts of a given component of acomposition, especially a buffering agent, stabiliser, amino acid,surfactant, or tonicifier, suitably relate to the amounts of the pureanhydrous form of the relevant component (or compositions formed byusing said amounts of the pure anhydrous form), even though such acomponent may be used in a non-anhydrous form when forming thecomposition. Amounts of any corresponding non-anhydrous forms (e.g.monohydrates, dihydrates, etc.) may be readily calculated by simplyusing the appropriate multiplier. For instance, unless stated otherwise(as per the Examples, where quantities relate to trehalose dihydrate),amounts stipulated in relation to trehalose refer to the anhydrous formof trehalose (or compositions formed by using the stipulatedamounts/concentrations of anhydrous trehalose), which has a molecularweight of 342.296 g/mol, so to calculate the corresponding amount oftrehalose dihydrate needed to form the same composition (less waterwould have to be added) it is necessary to multiply the stipulatedamount by 378.33/342.296, since 378.33 is the molecular weight oftrehalose dihydrate. The skilled person would readily understand how tojudiciously adjust the quantity of diluent/water depending on the formof the components used, in order to derive the target concentrations.

Herein, the term “pharmaceutical composition” refers to a formulation ofa pharmaceutical active which renders the biological activity of theactive ingredient therapeutically effective, but which does not includeother ingredients which are obviously toxic to a subject to which theformulation are intended to be administered.

Herein, the term “stable” generally refers to the physical stabilityand/or chemical stability and/or biological stability of a component,typically an active or composition thereof, during preservation/storage.

It is to be appreciated that references to “treating” or “treatment”include prophylaxis as well as the alleviation of established symptomsof a condition. “Treating” or “treatment” of a state, disorder orcondition therefore includes: (1) preventing or delaying the appearanceof clinical symptoms of the state, disorder or condition developing in ahuman that may be afflicted with or predisposed to the state, disorderor condition but does not yet experience or display clinical orsubclinical symptoms of the state, disorder or condition, (2) inhibitingthe state, disorder or condition, i.e., arresting, reducing or delayingthe development of the disease or a relapse thereof (in case ofmaintenance treatment) or at least one clinical or subclinical symptomthereof, or (3) relieving or attenuating the disease, i.e., causingregression of the state, disorder or condition or at least one of itsclinical or subclinical symptoms.

In the context of the present invention, a “therapeutically effectiveamount” or “effective amount” of the antibody means an amount that iseffective, when administered to a mammal for treating a disease ordisorder, in prophylactic and therapeutic aspect and the antibody iseffective in treatment of the diseases concerned.

The “therapeutically effective amount” will vary depending on thecompound, the disease and its severity and the age, weight, etc., of themammal to be treated.

The term “human TNF-α” refers to the human cytokine which exists in a 17kD secreted form and a 26 kD membrane-associated form, and in abiologically active form, TNF-α could be observed as a trimer ofcovalently-bound 17 kD molecule. Its specific structure can be found inPennica, D. et al. (1984) Nature 312: 724-729; Davis, J. M. et al.(1987) Biochemistry 26, 1322-1326; and Jones, E. Y. et al. (1989) Nature338: 225-228.

The term “recombinant human antibody” is intended to include a humanantibody prepared, expressed, produced or isolated using a recombinantmethod.

Herein, amounts stipulated for components and ingredients, whetherspecified in terms of “parts”, ppm (parts per million), percentages (%,e.g. wt %), or ratios, are intended to be by weight, unless statedotherwise.

Where the quantity or concentration of a particular component of a givencomposition is specified as a weight percentage (wt % or % w/w), saidweight percentage refers to the percentage of said component by weightrelative to the total weight of the composition as a whole. It will beunderstood by those skilled in the art that the sum of weightpercentages of all components of a composition (whether or notspecified) will total 100 wt %. However, where not all components arelisted (e.g. where compositions are said to “comprise” one or moreparticular components), the weight percentage balance may optionally bemade up to 100 wt % by unspecified ingredients (e.g. a diluent, such aswater, or other non-essential but suitable additives).

Herein, unless stated otherwise, the term “parts” (e.g. parts by weight,pbw) when used in relation to multiple ingredients/components, refers torelative ratios between said multiple ingredients/components. Expressingmolar or weight ratios of two, three or more components gives rise tothe same effect (e.g. a molar ratio of x, y, and z is x1:y1:z1respectively, or a range x1-x2:y1-y2:z1-z2). Though in many embodimentsthe amounts of individual components within a composition may be givenas a “wt %” value, in alternative embodiments any or all such wt %values may be converted to parts by weight (or relative ratios) todefine a multi-component composition. This is so because the relativeratios between components is often more important than the absoluteconcentrations thereof in the liquid pharmaceutical compositions of theinvention. Where a composition comprising multiple ingredients isdescribed in terms of parts by weight alone (i.e. to indicate onlyrelative ratios of ingredients), it is not necessary to stipulate theabsolute amounts or concentrations of said ingredients (whether in totoor individually) because the advantages of the invention can stem fromthe relative ratios of the respective ingredients rather than theirabsolute quantities or concentrations. However, in certain embodiments,such compositions consists essentially of or consist of the stipulatedingredients and a diluents (e.g. water).

Where a composition is said to comprise a plurality of stipulatedingredients (optionally in stipulated amounts of concentrations), saidcomposition may optionally include additional ingredients other thanthose stipulated. However, in certain embodiments, a composition said tocomprise a plurality of stipulated ingredients may in fact consistessentially of or consist of all the stipulated ingredients.

Herein, where a composition is said to “consists essentially of” aparticular component, said composition suitably comprises at least 70 wt% of said component, suitably at least 90 wt % thereof, suitably atleast 95 wt % thereof, most suitably at least 99 wt % thereof. Suitably,a composition said to “consist essentially of” a particular componentconsists of said component save for one or more trace impurities.

Suitably, unless stated otherwise, where reference is made to aparameter (e.g. pH, pKa, etc.) or state of a material (e.g. liquid, gas,etc.) which may depend on pressure and/or temperature, suitably in theabsence of further clarification such a reference refers to saidparameter at standard ambient temperature and pressure (SATP). SATP is atemperature of 298.15 K (25° C., 77° F.) and an absolute pressure of 100kPa (14.504 psi, 0.987 atm). References herein to “standard pressure”suitably refer to an absolute pressure of about 100 kPa.

The term “substantially free”, when used in relation to a givencomponent of a composition (e.g. “a liquid pharmaceutical compositionsubstantially free of compound X”), refers to a composition to whichessentially none of said component has been added. When a composition is“substantially free” of a given component, said composition suitablycomprises no more than 0.01 wt % of said component, suitably no morethan 0.001 wt % of said component, suitably no more than 0.0001 wt %,suitably no more than 0.00001 wt %, suitably no more than 0.000001 wt %thereof, most suitably no more than 0.0001 parts per billion (byweight).

Herein, unless stated otherwise, all chemical nomenclature may bedefined in accordance with IUPAC definitions.

Liquid Pharmaceutical Composition

The present invention provides a liquid pharmaceutical composition,suitably as defined herein. The composition suitably comprisesadalimumab, which in itself suitably includes any biosimilar thereof.The composition suitably comprises arginine, methionine and a C2-C6polyol, more suitably a C2-C4 polyol. In addition, the composition maysuitably include any one or more additional components defined herein inrelation to a liquid pharmaceutical composition (e.g. including abuffer, surfactant and tonicifier), optionally in any amount,concentration, or form stipulated herein; and wherein the compositionoptionally exhibits any one or more parameters or properties givenherein in relation to a liquid pharmaceutical composition (e.g. pH,osmolality).

Advantageously, the present invention provides alternative and improvedliquid pharmaceutical compositions, which are highly stable even at highadalimumab concentrations and therefore cause little pain uponinjection. As is illustrated herein (see Examples), the liquidpharmaceutical formulations of the present invention have comparable orimproved characteristics when compared to the conventional formulationsof adalimumab, for example the aforementioned commercially availableformulation Humira®, when subjected to different stressing conditions(thermal, mechanical and light). Their performance is also generallycomparable or better than many other comparative formulations that weresubjected to the same stress testing. Since these stressing conditionsare highly representative of the kind of stress such formulations aresubjected to during manufacture, transport, and storage, they provide anexcellent indication of the advantages of the invention. That such goodstability performance can be achieved using less complex formulationswith fewer excipients was considered surprising in view of the generalteachings of the prior art.

Adalimumab

Adalimumab, which is commercially available in HUMIRA® formulations, andits method of manufacture, is described in WO97/29131 (BASF) as D2E7,and elsewhere in the art. It is described as having “a light chain CDR3domain comprising the amino acid sequence of SEQ ID NO: 3 and a heavychain CDR3 domain comprising the amino acid sequence of SEQ ID NO: 4”(WO97/29131). Furthermore, the D2E7 antibody is described as having alight chain variable region (LCVR) comprising the amino acid sequence ofSEQ ID NO: 1 and a heavy chain variable region (HCVR) comprising theamino acid sequence of SEQ ID NO: 2 (WO97/29131).

The medical indications and function of Adalimumab, are elucidatedhereinbefore.

In the context of the invention “adalimumab” includes biosimilars, asdefined hereinbefore, and the skilled person would readily appreciatethe scope of the term “adalimumab” in the context of the invention.

In an embodiment, the liquid pharmaceutical composition comprisesadalimumab at a concentration of from about 5 to about 200 mg/ml,suitably from about 25 to about 125 mg/mL. For example, the adalimumabmay be present in the formulation at a concentration of about 25, about50, about 75 or about 100 mg/ml. In an embodiment, the adalimumab ispresent at a concentration from about 75 to 125 mg/mL, suitably fromabout 90 to 110 mg/mL, suitably from about 95 to about 105 mg/ml, andmost suitably in an amount of 100 mg/ml. Due to the increasedconcentration in this embodiment as compared to the aforementionedcommercial adalimumab formulation, the same effective amounts can besubcutaneously injected in smaller volumes, thereby decreasing pain ofthe patients.

Amino Acids

Suitably, the liquid pharmaceutical composition comprises methionine andarginine, most suitably L-methionine and L-arginine. Suitably, such acombination of components facilitates maintainance of the structuralintegrity of the biopharmaceutical drug, particularly during freezingand/or lyophilization and/or storage (especially when exposed tostress).

It was surprisingly found that methionine and arginine actsynergistically to provide a stabilizing effect on adalimumabformulations. This stabilizing effect is even increased when both aminoacids are combined in a single adalimumab formulation and even furtherincreased if a C2-C6 polyol is additionaly added.

Suitably, the liquid pharmaceutical composition comprises arginine (mostsuitably L-arginine) at a concentration of from about 5 to about 200 mM,more suitably from about 20 to about 100 mM, more suitably from about 50to about 70 mM. In an embodiment, L-arginine is present at aconcentration of 60 mM.

Suitably, the liquid pharmaceutical composition comprises arginine (mostsuitably L-arginine) at a concentration of from about 0.5 mg/mL to about100 mg/mL, more suitably from about 1 mg/mL to about 50 mg/mL, moresuitably from about 5 mg/mL to about 15 mg/mL. In an embodiment,arginine is present at a concentration of between 9 mg/mL and 11 mg/mL.In a particular embodiment, L-arginine is present at a concentration of10.4 mg/mL.

Suitably, the liquid pharmaceutical composition comprises arginine (mostsuitably L-arginine) in a molar ratio of arginine to adalimumab of fromabout 1:1 to about 500:1, more suitably from about 10:1 to about 200:1,more suitably from about 50:1 to about 125:1. In an embodiment, arginineis present at a molar ratio of arginine to adalimumab of from about 75:1to about 100:1, most suitably about 86:1. In an embodiment, L-arginineis present at a molar ratio of L-arginine to adalimumab of about 86:1.

Suitably, the liquid pharmaceutical composition comprises methionine(most suitably L-methionine) at a concentration of from about 1 to about200 mM, more suitably from about 10 to about 100 mM, more suitably fromabout 20 to about 40 mM. In an embodiment, L-methionine is present at aconcentration of 30 mM.

Suitably, the liquid pharmaceutical composition comprises methionine(most suitably L-methionine) at a concentration of from about 0.5 mg/mLto about 100 mg/mL, more suitably from about 1 mg/mL to about 50 mg/mL,more suitably from about 2.5 mg/mL to about 7.5 mg/mL. In an embodiment,methionine is present at a concentration of between 4 mg/mL and 5 mg/mL.In a particular embodiment, L-methionine is present at a concentrationof 4.5 mg/mL.

Suitably, the liquid pharmaceutical composition comprises methionine(most suitably L-methionine) in a molar ratio of methionine toadalimumab of from about 1:1 to about 500:1, more suitably from about10:1 to about 200:1. In an embodiment, methionine is present at a molarratio of methionine to adalimumab of from about 30:1 to about 50:1, mostsuitably about 43:1. In an embodiment, L-methionine is present at amolar ratio of L-methionine to adalimumab of about 43:1.

Suitably, the liquid pharmaceutical composition comprises arginine (mostsuitably L-arginine) and methionine (most suitably L-methionine) in arespective molar ratio of from about 1:10 to about 10:1, suitably fromabout 1:5 to about 5:1, suitably from about 1:1 to about 3:1, mostsuitably about 2:1. Suitably, the molar concentration of arginine isgreater than the molar concentration of methionine.

Suitably, the liquid pharmaceutical composition comprises an amino acidcombination of arginine and methionine, wherein the molar ratio of theamino acid combination (i.e. the sum of both amino acids combined) toadalimumab is from about 10:1 to about 300:1, suitably from about 50:1to about 200:1, suitably from about 100:1 to about 150:1, suitably about130:1.

Suitably, the weight ratio of adalimumab to arginine within the liquidpharmaceutical composition is between 100:1 and 1:1, suitably between50:1 and 2:1, more suitably between 20:1 and 3:1, more suitably between15:1 and 5:1, most suitably about 10:1.

Suitably, the weight ratio of adalimumab to methionine within the liquidpharmaceutical composition is between 200:1 and 1:1, suitably between100:1 and 2:1, more suitably between 50:1 and 5:1, more suitably between30:1 and 10:1, most suitably about 22:1.

Suitably, the weight ratio of adalimumab to an amino acid combination orarginine and methionine (i.e. combined weights of arginine andmethionine) within the liquid pharmaceutical composition is between100:1 and 1:1, suitably between 50:1 and 2:1, more suitably between 30:1and 3:1, more suitably between 10:1 and 4:1, most suitably about 7:1.

As illustrated in the Example section, liquid pharmaceuticalcompositions of the invention including the amino acids as definedherein perform particularly well in stress tests, especially in relationto aggregation, fragmentation and protein unfolding, which can beimportant indicators of stability and drug product viability.Furthermore, liquid pharmaceutical compositions comprising methionineand arginine, particularly in an amount range as stipulated, performparticularly well.

Polyol Stabiliser

Suitably, the liquid pharmaceutical composition comprises a stabiliser,most suitably a polyol stabiliser. Suitably, such a componentfacilitates maintainance of the structural integrity of thebiopharmaceutical drug, particularly during freezing and/orlyophilization and/or storage (especially when exposed to stress).

The liquid pharmaceutical composition may comprise one or more poylolstabilisers, though in preferred embodiments only a single polyolstabiliser is present.

Suitably, the polyol stabiliser is a polyol with 2 to 6 carbon atoms(C2-C6 polyol), more suitably 2 to 4 carbon atoms (C2-C4 polyol).

It was surprisingly found that, when combined with arginine andmethionine, small polyols, such as propylene glycol and glycerol, have abetter stabilizing effect at adalimumab formulations than large polyols,such as trehalose.

The polyol stabiliser is suitably selected from the group includingfructose, mannose, rhamnose, galactose, glucose, sorbose, mannitol,sorbitol, arabinose, xylose, ribose, xylitol, ribitol, erythritol,threitol, glycerol, propylene glycol and ethylene glycol. More suitably,the polyol stabiliser is propylene glycol or glycerol. Most suitably,the polyol stabiliser is glycerol.

The polyol may be one or more polyols, wherein each polyol is suitablyindependently a polyol as defined herein. Insofar as the presentapplication defines quantities (e.g. amounts, concentrations, or ratios)of a polyol, such quantities may be construed as quantities of the oneor more polyols combined. In alternative embodiments, such quantitiesmay be construed as quantities relating to just one or at least one ofthe one or more polyols. In certain embodiments the compositioncomprises one polyol in any one of the quantities defined herein.

Suitably, the liquid pharmaceutical composition comprises the polyolstabilizer(s) (most suitably glycerol) at a concentration of from about50 to about 400 mM, more suitably from about 100 to about 200 mM, moresuitably from about 110 to about 150 mM. In an embodiment, the polyolstabilizer(s) is present at a concentration of between 120 and 140 mM,most suitably about 130 mM. In an embodiment, glycerol is present at aconcentration of 130 mM.

Suitably, the liquid pharmaceutical composition comprises the polyolstabilizer(s) (most suitably glycerol) at a concentration of from about1 mg/mL to about 50 mg/mL, more suitably from about 5 mg/mL to about 20mg/mL, more suitably from about 7.5 mg/mL to about 15 mg/mL. In anembodiment, the polyol stabilizer(s) is present at a concentration ofbetween 9 mg/mL and 12.5 mg/mL, most suitably about 9.9 or 12 mg/mL. Ina particular embodiment, glycerol is present at a concentration of 12mg/mL.

Suitably, the liquid pharmaceutical composition comprises the polyolstabilizer(s) (most suitably glycerol) in a molar ratio of polyolstabilizer(s) to adalimumab of from about 10:1 to about 1000:1, moresuitably from about 100:1 to about 300:1, more suitably from about 150:1to about 250:1. In an embodiment, the polyol stabilizer(s) is present ata molar ratio of polyol stabilizer(s) to adalimumab of from about 175:1to about 200:1, most suitably about 187:1. In an embodiment, glycerol ispresent at a molar ratio of glycerol to adalimumab of about 187:1.

In accordance with certain embodiments of the invention, the polyol (orthe one or more polyols) may be (each independently) defined as setforth in any of, or any combination of, the following numberedparagraphs:

-   -   (1) a C2-C6 polyol—i.e. an aliphatic (linear or branched) or        cyclic organic molecule comprising between 2 and 6 carbon atoms        and at least two hydroxyl groups; (2) a C2-05 polyol, suitably a        C2-C4 polyol, suitably a C2-C3 polyol;    -   (3) a polyol as defined herein comprising at most 5 hydroxyl        groups, suitably at most 4 hydroxyl groups, suitably at most 3        hydroxyl groups, suitably two or three hydroxyl groups (no more        and no fewer);    -   (4) a polyol free of any heteroatom except for oxygen;    -   (5) a polyol, wherein each and every oxygen atom within the        polyol is a part of a hydroxyl group;    -   (6) a polyol free of any carbonyl and carboxy groups;    -   (7) a polyol free of any ionised or ionisable groups (especially        at a pH between 3 and 8);    -   (8) a polyol having a molecular weight less than or equal to 167        g/mol, suitably less than or equal to 153 g/mol, suitably less        than or equal to 137 g/mol, suitably less than or equal to 123        g/mol, suitably less than or equal to 107 g/mol, suitably less        than or equal to 93 g/mol;    -   (9) a polyol having a molecular weight greater than or equal to        61 g/mol, suitably greater than or equal to 75 g/mol;    -   (10) a polyol that is a liquid at SATP (see definitions);    -   (11) a polyol that is a liquid at 0° C. at standard pressure        (see definitions);    -   (12) a polyol that behaves as an antifreeze component within an        aqueous solution;    -   (13) a polyol having a boiling point greater than or equal to        150° C. at standard pressure, suitably greater than or equal to        180° C., suitably greater than 250° C.;    -   (14) a polyol having a boiling point less than or equal to        300° C. at standard pressure, suitably less than or equal to        200° C.;    -   (15) a polyol having a melting point less than 25° C. at        standard pressure, suitably less than or equal to 20° C.;    -   (16) a polyol having a melting point greater than or equal to        −80° C. at standard pressure, suitably greater than or equal to        10° C.;    -   (17) a polyol free or substantially free of a polyol comprising        5 or more carbon atoms, suitably free or substantially free of a        polyol comprising 4 or more carbon atoms;    -   (18) a polyol free or substantially free of a polyol comprising        5 or more hydroxyl groups, suitably free or substantially free        of a polyol comprising 4 or more hydroxyl groups;    -   (19) a polyol free or substantially free of a polyol comprising        5 or more oxygen atoms, suitably free or substantially free of a        polyol comprising 4 or more oxygen atoms;    -   (20) glycerol or an isomer thereof, or propylene glycol;    -   (21) glycerol;    -   (22) propylene glycol;    -   (23) a polyol as defined herein at a concentration of 50 to 200        mM, suitably 100 to 160 mM, suitably 120 to 140 mM;    -   (24) one or more polyols, each independently as defined herein,        at a combined concentration of 50 to 200 mM, suitably 100 to 160        mM, suitably 120 to 140 mM;

Suitably, in the context of the invention, non-ionic surfactants (suchas polysorbate(s) and poloxamer(s)) are not “polyols” as defined herein.As such, a “polyol” as defined herein may be considered a non-surfactantpolyol.

Suitably, in the context of the invention, buffering species (such astartrate) are not “polyols” as defined herein. As such, a “polyol” asdefined herein may be considered a non-buffering polyol.

In a particular embodiment, the polyol or each polyol is a C2-C4 polyolwith at most 4 hydroxyl groups.

In a particular embodiment, the polyol or each polyol is a C2-C4 polyolwherein each and every oxygen atom within the polyol is a part of ahydroxyl group.

In a particular embodiment, the polyol or each polyol has a molecularweight less than or equal to 107 g/mol and is a liquid at SATP.

Suitably, the weight ratio of adalimumab to polyol within the liquidpharmaceutical composition is between 100:1 and 1:1, suitably between20:1 and 5:1, more suitably between 12:1 and 6:1, most suitably about8:1 or about 10:1.

Suitably, the liquid pharmaceutical composition comprises the polyol andarginine (most suitably L-arginine) in a respective molar ratio ofbetween about 50:1 and about 1:10, suitably between about 10:1 and about1:1, suitably between about 3:1 and about 3:2, most suitably about 13:6.Suitably, the molar concentration of polyol is greater than the molarconcentration of arginine.

Suitably, the liquid pharmaceutical composition comprises the polyol andmethionine (most suitably L-methionine) in a respective molar ratio ofbetween about 25:1 and about 1:5, suitably between about 10:1 and about1:1, suitably between about 6:1 and about 3:1, most suitably about 13:3.Suitably, the molar concentration of polyol is greater than the molarconcentration of methionine.

Suitably, the liquid pharmaceutical composition comprises the polyol anda combination of amino acids arginine (most suitably L-arginine) andmethionine (most suitably L-methionine) in a respective molar ratio ofpolyol to the combination of amino acids between about 75:1 and about1:5, suitably between about 20:1 and about 1:2, suitably between about10:1 and about 1:1, suitably between about 2:1 and 1:2, most suitablyabout 13:9. Suitably, the molar concentration of polyol is greater thanthe molar concentration of the combination of the two amino acids.

As illustrated in the Example section, liquid pharmaceuticalcompositions of the invention including a polyol stabiliser as definedherein perform particularly well in stress tests, especially in relationto aggregation, fragmentation and protein unfolding, which can beimportant indicators of stability and drug product viability.Furthermore, liquid pharmaceutical compositions comprising C2-C6 polyolsas the polyol stabiliser perform particularly well.

Diluent

The liquid pharmaceutical compositions of the invention may include anyone or more pharmaceutically acceptable diluents, or mixture thereof.However, most suitably the liquid pharmaceutical composition is anaqueous pharmaceutical composition. Most suitably the diluent is water,and suitably water alone. The water is suitably water for injection(WFI).

Suitably the diluent may constitute the balance of ingredients in anyliquid pharmaceutical composition, for instance so that the weightpercentages total 100%. Suitably any concentrations given herein inrelation to any component of the liquid pharmaceutical compositionrepresent concentrations of said component in (and suitably dissolvedin) the diluent in admixture with any other components.

Suitably, the liquid pharmaceutical composition comprises greater thanor equal to 80 wt % water, suitably greater than or equal to 85 wt %water.

The liquid pharmaceutical composition of the invention is suitably asolution, and is suitably (substantially or entirely) free ofparticulates or precipitates.

Optional Additional Components Buffer, Buffering Agent, and pH

Suitably, the liquid pharmaceutical composition is a buffered solutionwhose pH is stabilised by a buffering agent, suitably in combinationwith an acid/base conjugate of the buffering agent. As such, the liquidpharmaceutical composition suitably comprises a buffering agent asdefined herein. Preferably, the liquid pharmaceutical compositionadditionally comprises an acid/base conjugate, wherein said acid/baseconjugate corresponds to the conjugate acid or conjugate base of thebuffering agent, depending on whether the buffering agent is itself abase or acid respectively. Collectively, the buffering agent and itsacid/base conjugate may be considered a “buffer system”. The liquidpharmaceutical composition thus suitably comprises a “buffer system”(suitably comprising a buffering agent(s) and an acid/base conjugate(s)thereof), and any concentrations stipulated in relation to the buffersystem generally relate to the combined concentrations of the bufferingagent(s) and any acid/base conjugate(s) thereof. Any “buffer system”suitably comprises a weak acid and a weak base (see above definitions).

Suitably, the buffering agent is an acetate buffering agent. Suitablythe acetate buffering agent is an acetate salt, suitably comprisinganionic acetate (i.e. AcO—) and one or more pharmaceutically acceptablecountercations. A suitable acetate salt may include a metal acetate salt(e.g. an alkali metal acetate or an alkaline earth metal acetate), or anon-metal acetate salt (e.g. ammonium acetate, triethylammoniumacetate). In a particular embodiment, the buffering agent (and theacetate salt) is sodium acetate.

Suitably, the liquid pharmaceutical composition comprises an acid/baseconjugate of the buffering agent, most suitably acetic acid as theconjugate acid of an acetate salt. The combination of the bufferingagent and its acid/base conjugate constitute a buffer system. Suitably,the liquid pharmaceutical composition comprises the buffering agent andits corresponding acid/base conjugate, suitably such that together thebuffering agent and its acid/base conjugate are present at a level (i.e.absolute amount or concentration) and in a relative amount (orconcentration) sufficient to provide the desired pH for the composition.The buffer system may be formed by simply mixing the buffering agentwith its acid/base conjugate or may alternatively be formed by mixing anacid or base with either the buffering agent or its acid/base conjugatein order to form in situ the desired mixture of buffering agent andacid/base conjugate. For example, the buffer system may be formed bysimply mixing the acetate buffering agent (e.g. sodium acetate) with itsacid/base conjugate (i.e. acetic acid), suitably in a ratio appropriateto furnish the desired pH. Alternatively, the buffer system may beformed by adding a base (e.g. sodium hydroxide) to the acid/baseconjugate (i.e. acetic acid) of the acetate buffering agent, suitably inan amount appropriate to furnish the desired pH and mixture of thebuffering agent (e.g. sodium acetate) and corresponding acid/baseconjugate (i.e. acetic acid). Alternatively, either method of formingthe buffer system may be employed, and pH may be judiciously adjusted byeither adding further acid (suitably strong acid, such as HCl) orfurther base (suitably strong base, such as sodium hydroxide).

Most suitably, the buffer system is an acetate buffer system, suitablycomprising an acetate salt and acetic acid.

Suitably, the liquid pharmaceutical composition comprises at most onebuffering agent. Suitably, the liquid pharmaceutical compositioncomprises at most one buffer system.

Suitably, where a buffer system is present, the said buffer system isformed in a manner that yields substantially no skin-irratants, such assodium chloride, as by-products. Most suitably, the buffer system isformed in a manner than yields less than 2.7 mM sodium chloride,suitably less than 2 mM sodium chloride, suitably less than 1 mM sodiumchloride, suitably less than 0.1 mM sodium chloride, most suitably(substantially) no sodium chloride. For instance, though an acetatebuffer may be formed by acidification of an acetate salt (e.g. sodiumacetate, or a hydrate thereof) with hydrochloric acid, this willinevitably yield some chloride salt by-products (e.g. sodium chloride).Since the present invention facilitates viable formulations with minimalquantities of skin-irritants, such as chloride salts, it is desirable toeliminate or limit their emergence during buffer formation. As such, thebuffer system is most suitably formed through judicious basification(e.g. with sodium hydroxide) of the conjugate acid of the buffer system(e.g. acetic acid) or through judicious mixing of appropriate quantitiesof conjugate acid and conjugate base (e.g. acetic acid/sodium acetate).In a particular embodiment, an acetate buffer system is formed bytreating a given quantity of acetic acid (suitably mixed with otheringredients and/or excipients) with an appropriate amount of a basifyingagent (suitably sodium hydroxide or other oxide or hydroxide salt) toachieve the desired pH.

Suitably, the liquid pharmaceutical composition has a pH greater than orequal to 4.0. Suitably, the liquid pharmaceutical composition has a pHless than or equal to 6.0.

In a particular embodiment, especially where the buffering agent is anacetate buffering agent, the liquid pharmaceutical composition has a pHbetween 4.5 and 5.5. In a particular embodiment, the liquidpharmaceutical composition has a pH between 4.9 and 5.1. In a particularembodiment, the liquid pharmaceutical composition has a pH of about 5.0.

In a particular embodiment, especially where the buffering agent is anacetate buffering agent and/or especially where the compositioncomprises at most 30 mM (though more suitably at most 20 mM or 10 mM)tonicifier (especially where the tonicifier in question is sodiumchloride or another skin-irritating tonicifier), the liquidpharmaceutical composition has a pH between 4.8 and 5.8. In a particularembodiment, the liquid pharmaceutical composition has a pH between 4.9and 5.3, suitably between 5.0 and 5.4, suitably between 5.1 and 5.3. Ina particular embodiment, the liquid pharmaceutical composition has a pHof about 5.2. The pH may suitably be pH 5.0+/−0.5.

Without wishing to be bound by theory, it is thought that implementingthe present invention allows formulations to be judiciously modified ina manner that reduces skin pain/irritation experienced duringsubcutaneous injection without compromising overall stability andefficacy. For example, the incorporation of arginine and methionineeither in combination with each other and/or in combination with apolyol, can open up the possibility of reducing buffer concentrations,even in more concentrated adalimumab formulations.

Suitably, the liquid pharmaceutical composition comprises a buffersystem (suitably an acetate buffer system comprising an acetatebuffering agent) at a concentration of from about 1 to about 50 mM. Inan embodiment, the buffer system is present at a concentration ofbetween 5 and 10 mM, most suitably about 8 mM. In an embodiment, thebuffer system is present at a concentration of 8 mM. Most preferably,the liquid pharmaceutical composition comprises a sodium acetate/aceticacid buffer system at a concentration of 8 mM. This includes where the“buffering agent(s)” (e.g. sodium acetate) is formed by the addition ofa strong base (e.g. sodium hydroxide) to the conjugate acid of thebuffering agent(s) (e.g. acetic acid). This latter embodiment isexpected to cause reduced skin irritation upon injection as well as painaround the injection site as compared to the aforementioned commercialadalimumab formulation, since the latter embodiment has a reduced bufferconcentration and avoids the citrate and phosphate buffer componentsthat are known to cause pain upon subcutaneous injection (Kappelgaard etal. (2004) Horm. Res. 62 Suppl 3:98-103 and Fransson et al. (1996) J.Pharm. Pharmacol. 48:1012-1015).

Suitably, the liquid pharmaceutical composition comprises the bufferingspecies (suitably acetate buffering species) at a concentration of fromabout 0.05 mg/mL to about 3.0 mg/mL. In an embodiment, the bufferingspecies are present at a concentration of between 0.1 mg/mL and 1.50mg/mL, suitably between 0.4 mg/mL and 0.6 mg/mL, most suitably about 0.5mg/mL. This includes where the “buffering agent” (e.g. sodium acetate)is formed by the addition of a strong base (e.g. sodium hydroxide) tothe conjugate acid of the buffering agent (e.g. acetic acid).

Suitably, the liquid pharmaceutical composition comprises the buffersystem (suitably the acetate buffer system) in a molar ratio of buffersystem to adalimumab of from about 1:1 to about 100:1. In an embodiment,the buffer system is present in a molar ratio of buffer system toadalimumab of from about 5:1 to about 30:1, most suitably about 11:1. Inan embodiment, the buffer system is present at a concentration of 11:1.This includes where the “buffering agent(s)” (e.g. sodium acetate) isformed by the addition of a strong base (e.g. sodium hydroxide) to theconjugate acid of the buffering agent (e.g. acetic acid).

As illustrated in the Example section, liquid pharmaceuticalcompositions of the invention including an acetate buffer system performparticularly well in stress tests, especially in relation tofragmentation and protein unfolding, which can be important indicatorsof stability and drug product viability. Furthermore, liquidpharmaceutical compositions whose acetate buffer system maintains asteady pH 5.2 perform particularly well.

Tonicifier

The liquid pharmaceutical composition of the invention may suitablycomprise a “tonicity modifier” (or “tonicifier”) or one or moretonicifiers, suitably as defined herein.

The inclusion of a tonicifier suitably contributes to (or increases) theoverall osmolality and osmolarity of the composition. Suitably atonicifier is present within the composition in a quantity orconcentration sufficient for the composition to be (substantially)isotonic with body fluids. Suitably a tonicifier is present within thecomposition in a quantity or concentration sufficient for thecomposition to have an osmolarity or osmolality within a range definedherein.

Any suitable tonicifier may be used. However, suitably the tonicifier isselected from the group including water-soluble metal salts (e.g. sodiumchloride, potassium chloride, magnesium chloride, calcium chloride),water-soluble tonicifying sugars/sugar alcohols (e.g. glucose, sucrose,mannitol), and/or other water-soluble polyols. Suitably thetonicifier(s) is non-buffering (i.e. gives rise to little or nobuffering effect). As such, any metal salt tonicifiers are suitably notbuffering agents.

The liquid pharmaceutical composition may comprise one or moretonicifiers, though preferably only a single “tonicifier” as such ispresent (notwithstanding any tonicifying effects imparted to thecomposition by components intended to serve another function as definedherein).

Most preferably, the tonicifier is or comprises a metal salt (preferablya non-buffering water-soluble metal salt). Suitably, said metal salt isor comprises a metal halide, suitably an alkali or an alkaline earthmetal halide, suitably an alkali metal chloride.

In a particular embodiment, the tonicifier is or comprises sodiumchloride. In a particular embodiment, the tonicifier is sodium chloride.Sodium chloride is a particularly advantageous stabiliser for usealongside an acetate buffering agent/buffer system in liquid adalimumabformulations.

Without wishing to be bound by theory, it is thought that implementingthe present invention allows formulations to be judiciously modified ina manner that reduces skin pain/irritation experienced duringsubcutaneous injection without compromising overall stability andefficacy. For example, the incorporation of arginine and methionineeither in combination with each other and/or in combination with apolyol, can open up the possibility of reducing tonicifierconcentrations, even in more concentrated adalimumab formulations.

Suitably, the liquid pharmaceutical composition comprises thetonicifier(s) (most suitably sodium chloride) at a concentration of fromabout 5 to about 100 mM, more suitably from about 10 to about 50 mM,most suitably about 30 mM. In an embodiment, sodium chloride is presentat a concentration of 30 mM.

Suitably, the liquid pharmaceutical composition comprises thetonicifier(s) (most suitably sodium chloride) at a concentration of fromabout 0.5 mg/mL to about 10 mg/mL, more suitably from about 1 mg/mL toabout 5 mg/mL, more suitably from about 1.5 mg/mL to about 2 mg/mL. Inan embodiment, the tonicifier(s) is present at a concentration of about1.75 mg/mL. Most suitably, sodium chloride is present at a concentrationof 1.75 mg/mL. The latter embodiment has a sodium chloride concentrationwhich is much lower than the sodium chloride concentration of theaforementioned commercial adalimumab formulation. The lower sodiumchloride concentration is expected to reduce the injection site pain.

Suitably, the liquid pharmaceutical composition comprises thetonicifier(s) (most suitably sodium chloride) in a molar ratio oftonicifier to adalimumab of from about 10:1 to about 200:1, moresuitably from about 20:1 to about 100:1, more suitably from about 30:1to about 50:1. In an embodiment, sodium chloride is present at a molarratio of sodium chloride to adalimumab of about 43:1.

Suitably, the weight ratio of adalimumab to tonicifier (most suitablysodium chloride) within the liquid pharmaceutical composition is between500:1 and 10:1, suitably between 200:1 and 20:1, more suitably between100:1 and 50:1, most suitably about 57:1.

Suitably the tonicifier(s) (most suitably sodium chloride) is present ata concentration not exceeding 100 mM, suitably not exceeding 70 mM, moresuitably not exceeding 50 mM, more suitably not exceeding 40 mM.Suitably the liquid pharmaceutical composition may be free orsubstantially free of a tonicifier, especially a skin-irritatingtonicifier, for example, sodium chloride and/or other metal salttonicifiers. In a particular embodiment, the liquid pharmaceuticalcomposition is free or substantially free of sodium chloride. In aparticular embodiment, the liquid pharmaceutical composition is free of,substantially free of, or comprises at most 40 mM of a tonicifier (e.g.sodium chloride). In a particular embodiment, the liquid pharmaceuticalcomposition is free of, substantially free of, or comprises at most 32mM of a tonicifier (e.g. sodium chloride). In a particular embodiment,the liquid pharmaceutical composition is free of, substantially free of,or comprises at most 20 mM of a tonicifier (e.g. sodium chloride).

As illustrated in the Example section, liquid pharmaceuticalcompositions of the invention including a tonicifier as defined hereinperform particularly well in stress tests, especially in relation toaggregation, fragmentation and protein unfolding, which can be importantindicators of stability and drug product viability. Furthermore, liquidpharmaceutical compositions comprising sodium chloride, particularly inan amount range as stipulated, perform particularly well.

Surfactant

The liquid pharmaceutical composition of the invention suitablycomprises a surfactant or one or more surfactants, suitably as definedherein.

The inclusion of a surfactant suitably contributes to stabilisation ofthe adalimumab protein.

Any suitable surfactant may be used. However, suitably the surfactant isa non-ionic surfactant, most suitably a polysorbate (polyoxyethyleneglycol sorbitan alkyl esters) or poloxamer surfactant.

Though one or more surfactants may be included within the liquidpharmaceutical composition of the invention, most suitably only a singlesurfactant is present, most suitably a single non-ionic surfactant(suitably as defined herein).

The surfactant(s) are suitably selected from polysorbate 20(polyoxyethylene (20) sorbitan monolaurate), polysorbate 40(polyoxyethylene (20) sorbitan monopalmitate), polysorbate 60(polyoxyethylene (20) sorbitan monostearate), polysorbate 80(polyoxyethylene (20) sorbitan monooleate), poloxamer 188 and poloxamer407.

In a particular embodiment, the surfactant is polysorbate 80,polysorbate 20 or poloxamer 188. In a particular embodiment, thesurfactant is polysorbate 20. In a particular embodiment, the surfactantis poloxamer 188.

Suitably, the liquid pharmaceutical composition comprises thesurfactant(s) (most suitably polysorbate 20) at a concentration of fromabout 0.1 to about 100 mM, more suitably from about 0.5 to about 20 mM,more suitably from about 0.7 to about 1.0 mM. In an embodiment, thesurfactant(s) is present at a concentration of about 0.8 mM. In anembodiment, polysorbate 20 is present at a concentration of 0.8 mM.

Suitably, the liquid pharmaceutical composition comprises thesurfactant(s) (most suitably polysorbate 20) at a concentration of fromabout 0.1 mg/mL to about 10 mg/mL, more suitably from about 0.5 mg/mL toabout 2 mg/mL, more suitably between about 0.9 mg/mL and about 1.1mg/mL, most suitably about 1.0 mg/mL. In a particular embodiment,polysorbate 20 is present at a concentration of 1.0 mg/mL.

Suitably, the liquid pharmaceutical composition comprises thesurfactant(s) (most suitably polysorbate 20) in a molar ratio ofsurfactant(s) to adalimumab of from about 1:2 to about 50:1, moresuitably from about 1:1 to about 30:1. In an embodiment, thesurfactant(s) is present at a molar ratio of surfactant(s) to adalimumabof from about 1:1 to about 1.3:1, most suitably about 1.15:1. In anembodiment, polysorbate 20 is present at a molar ratio of polysorbate 20to adalimumab of about 1.17:1.

As illustrated in the Example section, liquid pharmaceuticalcompositions of the invention including a surfactant as defined hereinperform particularly well in stress tests, especially in relation toaggregation, fragmentation and protein unfolding, which can be importantindicators of stability and drug product viability. Furthermore, liquidpharmaceutical compositions comprising polysorbate 20, particularly inan amount range as stipulated, perform particularly well.

Specific Embodiments

In a particular embodiment, the liquid pharmaceutical composition of theinvention comprises:

-   -   (a) adalimumab;    -   (b) a combination of arginine and methionine in a molar ratio        between 1:1 and 3:1,    -   wherein arginine and methionine are present at a combined        concentration between 50 mM and 130 mM (suitably 80-100 mM);    -   wherein the composition has a pH between 4.0 and 6.0.

In a particular embodiment, the liquid pharmaceutical composition of theinvention comprises:

-   -   (a) 25-125 mg/mL adalimumab;    -   (b) a combination of arginine and methionine in a molar ratio        between 1:1 and 3:1,    -   wherein arginine and methionine are present at a combined        concentration between 50 mM and 130 mM (suitably 80-100 mM);        wherein the composition has a pH between 4.8 and 5.2.

In a particular embodiment, the liquid pharmaceutical composition of theinvention comprises:

-   -   (a) adalimumab;    -   (b) a combination of arginine and methionine;    -   (c) a polyol selected from glycerol and propylene glycol;        wherein the composition has a pH between 4.0 and 6.0.

In a particular embodiment, the liquid pharmaceutical composition of theinvention comprises:

-   -   (a) adalimumab;    -   (b) arginine, methionine, or a combination thereof, at a        (combined) concentration between 10 mM and 250 mM, and the        weight ratio of adalimumab to the combination of amino acids        between 30:1 and 3:1;    -   (c) a C2-05 polyol with at most 4 hydroxyl groups, wherein the        weight ratio of adalimumab to polyol is between 20:1 and 5:1;        wherein the composition has a pH between 4.5 and 5.5.

In a particular embodiment, the liquid pharmaceutical composition of theinvention comprises:

-   -   (a) adalimumab;    -   (b) a combination of arginine and methionine in a molar ratio        between 1:5 and about 5:1, a combined concentration between 10        mM and 250 mM, and the weight ratio of adalimumab to the        combination of amino acids between 30:1 and 3:1;    -   (c) a C2-05 polyol with at most 4 hydroxyl groups, wherein the        molar ratio of polyol to the combination of amino acids is        between 10:1 and 1:1;        wherein the composition has a pH between 4.0 and 6.0.

In a particular embodiment, the liquid pharmaceutical composition of theinvention comprises:

-   -   (a) 25 to 125 mg/mL adalimumab;    -   (b) a combination of arginine and methionine in a molar ratio        between 1:1 and 3:1, wherein arginine and methionine are present        at a combined concentration between 50 mM and 130 mM (suitably        80-100 mM);    -   (c) a C2-C3 polyol with at most 3 hydroxyl groups, wherein the        molar ratio of polyol to the combination of amino acids is        between 10:1 and 1:1;        wherein the composition has a pH between 4.5 and 5.5.

In a particular embodiment, the liquid pharmaceutical compositioncomprises:

-   -   (a) 100 pbw adalimumab;    -   (b) 1-20 pbw arginine;    -   (c) 1-10 pbw methionine; and    -   (d) 1-20 pbw polyol selected from glycerol or propylene glycol.

In a particular embodiment, the liquid pharmaceutical compositioncomprises:

-   -   (a) 100 pbw adalimumab;    -   (b) 5-15 pbw arginine;    -   (c) 2-8 pbw methionine; and    -   (d) 5-15 pbw polyol selected from glycerol or propylene glycol.

In a particular embodiment, the liquid pharmaceutical compositioncomprises:

-   -   (a) 100 pbw adalimumab;    -   (b) 8-12 pbw arginine;    -   (c) 4-5 pbw methionine; and    -   (d) 8-13 pbw polyol selected from glycerol or propylene glycol.

The above embodiments may suitably further comprise a tonicifier (whichis most suitably sodium chloride) but suitably the concentration of thetonicifier is at most 50 mM, suitably at most 40 mM. Moreover, suchembodiments suitably comprise a buffer system (which is suitably anacetate buffer system), though suitably the concentration of the buffersystem is at most 10 mM. Where sodium chloride is present in a liquidpharmaceutical composition, it is suitably present in a concentrationbetween 20 and 40 mM, most suitably about 30 mM.

The above specific embodiments may suitably be free of, substantiallyfree of, or comprise at most 40 mM (more suitably at most 30 mM, moresuitably at most 20 mM, more suitably at most 10 mM) of a tonicifier(which tonicifier is most suitably sodium chloride). Suitably where thecomposition comprises at or below 20 mM sodium chloride, and especiallywhere the composition is free of or substantially free of sodiumchloride, the pH of said composition is between pH 4.8 and 5.4, suitablybetween 4.9 and 5.3, suitably between 5.1 and 5.3, most suitably pH 5.2(suitably +/−0.3). As such, any pH specified above may be adjusted to bewithin one of these ranges. Moreover, such embodiments suitably comprisea buffer system (which is suitably an acetate buffer system), thoughsuitably the concentration of the buffer system is at most 10 mM.

The present invention suitably allows adalimumab compositions to beformulated with reduced amounts of injection-pain-inducing compounds,such as tonicifiers and buffers.

Method of Stabilising Antibody

The present invention also provides a method of stabilising liquidadalimumab compositions (chemically and/or physically), comprisingmixing adalimumab with any relevant components required to form a liquidpharmaceutical composition as defined herein. Different embodiments willsuitably require different combinations of components to be mixed,potentially in different amounts, and the skilled person can readilydeduce such combinations and amounts by reference to the foregoingdisclosure relating to the liquid pharmaceutical composition. Suchdifferent combinations of components may stabilise liquid adalimumabcompositions in different respects. For instance, mixing adalimumab withthe aforementioned components to form a liquid pharmaceuticalcomposition as defined herein may stabilise adalimumab by:

-   -   i) Increasing the protein unfolding temperature of adalimumab;    -   ii) Inhibiting the formation of aggregates;    -   iii) Inhibiting the formation of fragments;    -   iv) Inhibiting the formation of deamidated species or isomers;    -   v) Inhibiting the formation of sub-visible particles (either <25        microns or <10 microns);    -   vi) Inhibiting turbidification;    -   vii) Inhibiting pH changes;    -   viii) Inhibiting photo-oxidation; and/or    -   ix) Reducing instability upon freeze/thaw cycles.

As such, the present invention provides a method of achieving one, some,or all of the following benefits:

-   -   i) Increased protein unfolding temperatures for adalimumab;    -   ii) Inhibition of formation of aggregates;    -   iii) Inhibition of formation of fragments;    -   iv) Inhibiting the formation of deamidated species or isomers;    -   v) Inhibition of formation of sub-visible particles (either <25        microns or <10 microns);    -   vi) Inhibition of turbidification;    -   vii) Inhibition of pH changes;    -   viii) Inhibition of photo-oxidation;    -   ix) Reduced instability upon freeze/thaw cycles; and/or    -   x) Stabilisation of the isoform profile (especially with respect        to the “main peak” as defined herein);        the method comprising manufacturing a liquid pharmaceutical        composition of adalimumab as defined herein.

Suitably, the liquid pharmaceutical compositions of the invention have ashelf life of at least 6 months, suitably at least 12 months, suitablyat least 18 months, more suitably at least 24 months. Suitably, theliquid pharmaceutical compositions of the invention have a shelf life ofat least 6 months, suitably at least 12 months, suitably at least 18months, more suitably at least 24 months, at a temperature of 2-8° C.

Enabling the Skilled Person to Optimise Key Stability Properties

The novel combination of components disclosed for use in liquidpharmaceutical compositions of the invention enables the skilled personto produce (and judiciously fine-tune) compositions which exhibitcomparable or enhanced properties relative to compositions of the priorart. In particular, the present disclosure now provides the skilledperson with all the necessary tools to optimise formulation stability,and in particular optimise one or more of: inhibition of aggregation,fragmentation, deamidation, isomerisation, protein unfolding,precipitation, pH slippage, and oxidation (especially photo-oxidation).Furthermore, the skilled person is given guidance on how to achieve suchoptimisations (through judiciously varying the compositions) and how, inthe process, to minimise any detrimental side-effects. The presentdisclosure enables the skilled person to work across the scope of theinvention to produce a variety of specific compositions which exhibitcomparable or improved properties relative to compositions of the priorart, and this can be achieved using fewer components.

Method of Manufacturing a Liquid Pharmaceutical Composition

The present invention provides a method of manufacturing a liquidpharmaceutical composition, suitably as defined herein. The methodsuitably comprises mixing together, in any particular order deemedappropriate, any relevant components required to form a liquidpharmaceutical composition as defined herein. The skilled person mayrefer to the Examples or techniques well known in the art for formingliquid pharmaceutical compositions (especially those for injection viasyringe). Different embodiments will suitably require differentcombinations of components to be mixed, potentially in differentamounts. The skilled person can readily deduce such combinations andamounts by reference to the foregoing disclosure relating to the liquidpharmaceutical composition.

Suitably the method involves mixing together the relevant componentssuitably, in a diluent (e.g. water), suitably so that all of thecomponents are (substantially or entirely) dissolved in the diluent.

The method may involve first preparing a pre-mixture (or pre-solution)of some or all components (optionally with some or all of the diluent)excluding adalimumab, and adalimumab may then itself (optionally with orpre-dissolved in some of the diluent) be mixed with the pre-mixture (orpre-solution) to afford the liquid pharmaceutical composition, or acomposition to which final components are then added to furnish thefinal liquid pharmaceutical composition. Most suitably, the pre-mixturecontains all components except for the adalimumab and optionally alsosome diluent (which may be used to pre-dissolve adalimumab), suitably sothat adalimumab is added to a mixture which offers optimal stabilisationof adalimumab. Suitably the aforementioned pre-mixture is prepared withthe desired pH for the final liquid pharmaceutical formulation.

Suitably, the method involves forming a buffer system, suitably a buffersystem comprising a buffering agent as defined herein. The buffer systemis suitably formed in a pre-mixture prior to the addition of adalimumab,though the buffer system may optionally be formed with adalimumabpresent. The buffer system may be formed through simply mixing thebuffering agent (supplied ready-made) with its acid/base conjugate(suitably in appropriate relative quantities to provide the desiredpH—this can be determined by the skilled person either theoretically orexperimentally). In the case of an acetate buffer system, this meansmixing sodium acetate with acetic acid. Alternatively, the buffer systemmay be formed through adding a strong acid (e.g. HCl) to the bufferingagent (e.g. sodium acetate) in order to form in situ the acid/baseconjugate (e.g. acetic acid) (again suitably in appropriate relativequantities to provide the desired pH). Alternatively, the buffer systemmay be formed through adding a strong base (e.g. sodium hydroxide) tothe acid/base conjugate (e.g. acetic acid) of the buffering agent (e.g.sodium acetate) in order to form in situ the buffering agent (againsuitably in appropriate relative quantities to provide the desired pH).The pH of either the pre-mixture of final liquid pharmaceuticalcomposition may be judiciously adjusted by adding the required quantityof strong base or strong acid, or even a quantity of buffering agent oracid/base conjugate.

In certain embodiments, the buffering agent and/or buffer system ispre-formed as a separate mixture, and the buffer system is transferredto a precursor of the liquid pharmaceutical composition (comprising someor all components save for the buffering agent and/or buffer system,suitably comprising adalimumab and potentially only adalimumab) viabuffer exchange (e.g. using diafiltration until the relevantconcentrations or osmolality is reached). Additional excipients may beadded thereafter if necessary in order to produce the final liquidpharmaceutical composition. The pH may be adjusted once or before allthe components are present.

Any, some, or all components may be pre-dissolved or pre-mixed with adiluent prior to mixing with other components.

The final liquid pharmaceutical composition may be filtered, suitably toremove particulate matter. Suitably filtration is through filters sizedat or below 1 μm, suitably at 0.22 μm. Suitably, filtration is througheither PES filteres or PVDF filters, suitably with 0.22 μm PES filters.

The present invention also provides a liquid pharmaceutical compositionobtainable by, obtained by, or directly obtained by the method ofmanufacture herein described.

Drug-Delivery Device

The present invention provides a drug delivery device comprising aliquid pharmaceutical composition as defined herein. Suitably the drugdelivery device comprises a chamber within which the pharmaceuticalcomposition resides. Suitably the drug delivery device is sterile.

The drug delivery device may be a vial, ampoule, syringe, injection pen(e.g. essentially incorporating a syringe), or intravenous bag. Mostsuitably the drug delivery device is a syringe, suitably an injectionpen. Suitably the syringe is a glass syringe. Suitably the syringecomprises a needle, suitably a 29G ½″ needle.

The present invention provides a method of manufacturing a drug deliverydevice, suitably as defined herein, the method comprising incorporatinga liquid pharmaceutical composition as defined herein within a drugdelivery device. Such manufacture typically involves charging the liquidpharmaceutical composition as defined herein to a syringe, suitably viaa needle affixed thereto. The needle may thereafter be removed,replaced, or remain.

According to another aspect of the present invention there is provided adrug delivery device obtainable by, obtained by, or directly obtained bya method of manufacture defined herein.

Package

The present invention provides a package comprising a liquidpharmaceutical composition as defined herein. Suitably the packagecomprises a drug delivery device as defined herein, suitably a pluralityof drug delivery devices. The package may comprise any suitablecontainer for containing one or more drug delivery devices.

The present invention provides a method of manufacturing a package, themethod comprising incorporating a liquid pharmaceutical composition asdefined herein within a package. Suitably this is achieved byincorporating said liquid pharmaceutical composition within one or moredrug delivery devices, and thereafter incorporating the one or morepre-filled drug delivery devices into a container present within thepackage.

The present invention provides a package obtainable by, obtained by, ordirectly obtained by a method of manufacture defined herein.

Kit of Parts

The present invention provides a kit of parts comprising a drug deliverydevice (without the liquid pharmaceutical composition incorporatedtherein), a liquid pharmaceutical composition as defined herein(optionally contained in a separate package or container), andoptionally a set of instructions with directions regarding theadministration (e.g. sub-cutaneous) of the liquid pharmaceuticalcomposition. The user may then fill the drug delivery device with theliquid pharmaceutical composition (which may be provided in a vial orampoule or such like) prior to administration.

Uses of Pharmaceutical Liquid Composition and Methods of Treatment

According to another aspect of the present invention there is provided amethod of treating a disease or medical disorder; a liquidpharmaceutical composition for use in therapy; a use of a liquidpharmaceutical composition in the manufacture of a medicament for thetreatment of a disease or disorder; a method of treating a tumournecrosis factor-alpha (TNF-α)-related autoimmune disease; a liquidpharmaceutical composition for use in the treatment of a tumour necrosisfactor-alpha (TNF-α)-related autoimmune disease; a use of a liquidpharmaceutical composition in the manufacture of a medicament for thetreatment of a tumour necrosis factor-alpha (TNF-α)-related autoimmunedisease; a method of treating rheumatoid arthritis, psoriatic arthritis,ankylosing spondylitis, Crohn's disease, ulcerative colitis, psoriasis,hidradenitis suppurativa, uveitis and/or juvenile idiopathic arthritis;a liquid pharmaceutical composition for use in the treatment ofrheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis,Crohn's disease, ulcerative colitis, psoriasis, hidradenitissuppurativa, uveitis and/or juvenile idiopathic arthritis; and a use ofa liquid pharmaceutical composition in the manufacture of a medicamentfor the treatment of rheumatoid arthritis, psoriatic arthritis,ankylosing spondylitis, Crohn's disease, ulcerative colitis, psoriasis,hidradenitis suppurativa, uveitis and/or juvenile idiopathic arthritis;as defined herein.

The liquid pharmaceutical compositions defined herein may be used totreat any one or more of the aforementioned diseases or medicaldisorders. In a particular embodiment, the liquid pharmaceuticalcompositions are used to treat rheumatoid arthritis, Crohn's disease andpsoriasis.

The liquid pharmaceutical compositions are suitably parenterallyadministered, suitably via sub-cutaneous injection.

EXAMPLES Materials

The following materials were used in the preparation of formulationsdescribed in the Examples that follow:

Chemical Supplier Sodium acetate, trihydrate Sigma L-Arginine SigmaL-Methionine Sigma Sodium chloride Sigma Trehalose Sigma Propyleneglycol Sigma Glycerol Sigma Polysorbate 20 Sigma Water for injectionHyClone

Analytical Techniques and Protocols

The following analytical methods of protocols were employed, in theExamples and Screening Experiments which follow, for the reasons statedin the table below:

Analytical Method Scope of the test SEC Quantification of solubleaggregates IEX-HPLC Quantification of acidic and basic species Visualinspection Appearance, assessment of particle formation

The individual protocols for each of the above analytical methods aredescribed in turn below, and references in the Examples and ScreeningExperiments to any such analytical methods used these protocols.

Visual Inspection

Visible particles are suitably detected using the 2.9.20. EuropeanPharmacepoeia Monograph (Particulate Contamination: Visible Particles).The apparatus required consists of a viewing station comprising:

-   -   a matt black panel of appropriate size held in a vertical        position    -   a non-glare white panel of appropriate size held in a vertical        position next to the black panel    -   an adjustable lampholder fitted with a suitable, shaded,        white-light source and with a suitable light diffuser (a viewing        illuminator containing two 13 W fluorescent tubes, each 525 mm        in length, is suitable). The intensity of illumination at the        viewing point is maintained between 2000 lux and 3750 lux.

Any adherent labels are removed from the container and the outsidewashed and dried. The container is gently swirled or inverted, ensuringthat air bubbles are not introduced, and observed for about 5 s in frontof the white panel. The procedure is repeated in front of the blackpanel. The presence of any particles is recorded. Samples that wereeither visually clear and samples that contained a very small number ofminor particles were classed as “Pass”. Samples that contained eitherlarger particles or a larger number of particles, including opalescentsamples, were classed as “Fail”.

Size Exclusion Chromatography (SEC)

High performance size exclusion chromatography of adalimumabpreparations is performed using the Dionex Ultimate 3000 UHPLC® focusedsystem with a 4 μm phase diol Silica 250 Å pore packing material in a300 mm by 4.6 mm column. The column is equilibrated in 50 mM sodiumphosphate buffer, 400 mM sodium perchlorate, pH 6.3 mobile phase. Flowrate is 0.35 mL/min and UV detection (214 nm) is used. Injection volumeis 20 μL. All analyses are performed at ambient temperature.

Ion-Exchange Chromatography (IEX-HPLC)

High performance ion exchange chromatography of adalimumab preparationsis performed using the Agilent technologies 1200 series HPLC® systemwith a 7 μm particle in a 100 mm by 4.6 mm column. The column isequilibrated in 20 mM Tris pH 8.3 mobile phase and elution is performedwith a gradient method by 20 mM Tris pH 8.3, 0.5 M NaCl. Flow rate is 1mL/min and UV detection (230 nm) is used. Injection volume is 50 μL. Allanalyses are performed at 25° C.

Sample Preparation

Two different methods were used to prepare 100 mg/ml samples ofadalimumab from a 60 mg/ml stock solution:

Tangental Flow Filtration (TFF)

TFF equipment: KR2i TFF System® (SpectrumLabs) was used in connectionwith D02-E030-05-N (30 kDa pore) TFF column (SpectrumLabs). The stocksolution of adalimumab was diafiltered against 10 mM sodium acetate (pH5.0), whilst increasing adalimumab concentration to 150 mg/ml. Followingthe final sample concentration a solution containing concentratedexcipients was added to achieve 100 mg/ml adalimumab and the correctfinal concentration of each excipient.

Ultracentrifugation

The stock solution of adalimumab (60 mg/ml, 15 ml) was placed in anAmicon tube (30 kDa molecular weight cut-off). The tube wasultracentrifuged for 30 minutes at 21° C., 2000 g. At this point, thevolume was reduced to 5 ml (i.e. 3-fold concentration of adalimumab). 10mM of acetate buffer (10 mM) was added and the process was repeated 4times. Following the final sample concentration a solution containingconcentrated excipients was added to achieve 100 mg/ml adalimumab andthe correct final concentration of each excipient.

Acetate Buffers

The acetate buffers used in the above sample preparations were producedby one of two methods. One method starts with sodium acetate andacidifies down to a desired pH, whilst the other starts with acetic acidand basifies up to a desired pH.

When an example formulation (e.g. Examples 1-3 below) stipulates sodiumacetate alongside a pH, the corresponding acetate buffer was preparedthrough acidifying the stipulated concentration of sodium acetate with ajudicious amount of hydrochloric acid to yield the desired pH.

When an example formulation (e.g. Example 4 below) stipulates aceticacid alongside a pH, the corresponding acetate buffer was preparedthrough basifying the stipulated concentration of acetic acid with ajudicious amount of sodium hydroxide to yield the desired pH.

Example 1—Investigation of the Effect of Arginine and Methionine onStability of Adalimumab

The effect of arginine and methionine on stability of adalimumab (100mg/ml) during storage at 40° C. was assessed. Samples were prepared bythe TFF process. Aggregation of adalimumab was assessed by SEC, visualassessment and IEX-HPLC prior to and following storage at 40° C. for 4weeks. The effect was tested in a background formulation comprising:

-   -   sodium acetate (8 mM)    -   sodium chloride (34 mM)    -   trehalose (134 mM)    -   polysorbate 20 (1 mg/ml)    -   water for injection    -   pH 5.0

Results are shown in Table 1. The rate of increase in HMWS was reducedin the presence of arginine (66 mM). Addition of methionine to thearginine-containing formulation caused further reduction in the rate ofHMWS increase. The effect appeared to be concentration-dependent, higherconcentration of methionine leading to greater reduction in HMWS.Similar effects of arginine and methionine were observed on the chemicalstability of adalimumab. The retention of the main peak on the IEX-HPLCchromatogram was greater in the presence of arginine compared witharginine-free formulation. Addition of methionine to thearginine-containing formulation resulted in further stabilityimprovement. All formulations tested passed the Visual inspection testwith a very small number of minor particles being observed followingstorage at 40° C. for 4 weeks.

TABLE 1 Effect of methionine and arginine on physical and chemicalstability of adalimumab (100 mg/ml) following storage at 40° C. for 4weeks. Physical stability was assessed by the increase in % HMWS and byvisual assessment. Chemical stability is expressed as decrease in themain peak on the IEX-HPLC chromatogram. All formulations containedsodium acetate (8 mM), trehalose (134 mM), sodium chloride (34 mM),polysorbate 20 (1 mg/ml) and water for injection and were adjusted to pH5.0. Decrease in Increase in Visual IEX-HPLC Additive HMWS (%)assessment main peak (%) No additive 0.938 Pass (−) 28.63 Arginine (66mM) 0.687 Pass (−) 27.34 Arginine (66 mM) + 0.331 Pass (−) 25.48methionine (10 mM) Arginine (66 mM) + 0.284 Pass (−) 23.17 methionine(30 mM) Pass = virtually clear solution free of visible particles; Pass(−) = very small number of minor particles; Fail = formation ofparticles and/or opalescence.

Example 2—Investigation of the Effect of Different Polyols on Stabilityof Adalimumab in the Presence of Arginine and Methionine

The effect of three different polyols stability of adalimumab (100mg/ml) during storage at 40° C. was assessed in the presence of eithermethionine (30 mM) alone or a mixture of methionine (30 mM) and arginine(60 mM). Thus, the experiment also allowed a comparison of thestabilizing effect of methionine alone versus that of arginine andmethionine combined. Samples were prepared by the ultracentrifugationprocess. Aggregation of adalimumab was assessed by SEC, visualassessment and IEX-HPLC prior to and following storage at 40° C. for 4weeks. The effect was tested in a background formulation comprising:

-   -   sodium acetate (8 mM)    -   sodium chloride (34 mM)    -   Methionine (30 mM)    -   polysorbate 20 (1 mg/ml)    -   water for injection    -   pH 5.0

Results are shown in Table 2. The rate of increase in HMWS was slightlylower in the poresence of either propylene glycol or glycerol than inthe presence of trehalose. The presence of arginine caused furtherimprovement when added to methionine-containing formulations, furtherconfirming the combined stabilizing effect of methionine and arginine.The presence of arginine also appeared to improve the chemical stabilityof adalimumab. Importantly, whilst all samples tested passed the Visualinspection test only samples containing methionine, arginine and eitherpropylene glycol or glycerol resulted compositions that were virtuallyfree of particles following storage at 40° C. for 4 weeks.

TABLE 2 Effect of trehalose, propylene glycol and glycerol on physicaland chemical stability of adalimumab (100 mg/ml) following storage at40° C. for 4 weeks both in the presence and in the absence of arginine(60 mM). Physical stability was assessed by the increase in % HMWS andby visual assessment. Chemical stability is expressed as decrease in themain peak on the IEX-HPLC chromatogram. All formulations containedsodium acetate (8 mM), methionine (30 mM), sodium chloride (34 mM),polysorbate 20 (1 mg/ml) and water for injection and were adjusted to pH5.0. Decrease Increase in Visual in IEX-HPLC Additive HMWS (%)assessment main peak (%) Trehalose (130 mM) 0.654 Pass (−) 25.6 Arginine(60 mM) + 0.503 Pass (−) 24.2 trehalose (130 mM) Propylene glycol (130mM) 0.620 Pass (−) 25.1 Arginine (60 mM) + 0.462 Pass 23.9 propyleneglycol (130 mM) Glycerol (130 mM) 0.613 Pass (−) 24.5 Arginine (60 mM) +0.450 Pass 23.6 glycerol (130 mM) Pass = virtually clear solution freeof visible particles; Pass (−) = very small number of minor particles;Fail = formation of particles and/or opalescence.

Example 3—Investigation of the Effect of Methionine Concentration

The stabilizing effect of 30 mM methionine was compared with that of 60mM methionine, both in the presence and in the absence of arginine (60mM). Samples were prepared by the ultracentrifugation process.Aggregation of adalimumab was assessed by SEC, visual assessment andIEX-HPLC prior to and following storage at 40° C. for 4 weeks. Theeffect was tested in a background formulation comprising:

-   -   sodium acetate (8 mM)    -   sodium chloride (34 mM)    -   propylene glycol (130 mM)    -   polysorbate 20 (1 mg/ml)    -   water for injection    -   pH 5.0

Results are shown in Table 3. Whilst in the absence of arginine the rateof increase in HMWS was lower in the presence of 60 mM methioninecompared with 30 mM methionine, the difference was negligible in thepresence of 60 mM arginine. Chemical stability was comparable in samplescontaining 30 mM and 60 mM methionine.

TABLE 3 Effect of methionine concentration on physical and chemicalstability of adalimumab (100 mg/ml) following storage at 40° C. for 4weeks both in the presence and in the absence of arginine (60 mM).Physical stability was assessed by the increase in % HMWS and by visualassessment. Chemical stability is expressed as decrease in the main peakon the IEX-HPLC chromatogram. All formulations contained sodium acetate(8 mM), sodium chloride (34 mM), propylene glycol (130 mM), polysorbate20 (1 mg/ml) and water for injection and were adjusted to pH 5.0.Decrease in Increase in Visual IEX-HPLC Additive HMWS (%) assessmentmain peak (%) Methionine (30 mM) 0.620 Pass (−) 25.1 Methionine (30mM) + 0.462 Pass 23.9 arginine (60 mM) Methionine (60 mM) 0.584 Pass (−)25.2 Methionine (60 mM) + 0.458 Pass (−) 23.8 arginine (60 mM) Pass =virtually clear solution free of visible particles; Pass (−) = verysmall number of minor particles; Fail = formation of particles and/oropalescence.

Example 4—Stability Testing of Selected Formulations

A further formulation according to the invention was prepared and itsstability was tested at 30° C. The formulation was prepared by theultracentrifugation process set forth above, and contained 100 mg/mladalimumab. The stability of adalimumab was assessed by SEC, visualassessment, and IEX-HPLC prior to and following storage at 30° C. for 4weeks. The composition of the formulation tested is shown in Table 4.

TABLE 4 Composition of the further formulation according to theinvention. Acetic Polysorbate acid Methione Arginine Glycerol 20 (mM)(mM) (mM) (mM) (mg/ml) pH Formulation 8 30 60 130 1 5.2 A

Results are shown in Table 5 below. The formulation passed the visualassessment test following storage at 30° C. for 4 weeks and only a veryminor increase in high molecular weight species was observed over thesame period of time. IEX-HPLC showed approximately 7% decrease in themain peak following storage at 30° C. for 4 weeks.

TABLE 5 Stability of a selected formulation following storage at 30° C.for 4 weeks. Physical stability was assessed by the increase in % HMWSand by visual assessment. Chemical stability is expressed as decrease in% main peak on the IEX-HPLC chromatogram. Pass = virtually clearsolution free of visible particles; Pass (-) = very small number ofminor particles; Fail = significant number of particles. DecreaseDecrease in % IEX- in % IEX- Visual Visual Increase in Increase in HPLCHPLC assessment assessment % HMWS % HMWS main peak main peak (2 weeks)(4 weeks) (2 weeks) (4 weeks) (2 weeks) (2 weeks) Formulation Pass Pass0.06 0.1 2.42 7.37 A

Example 5—Stability Testing of Selected Formulations

An additional formulation according to the invention (Formulation B) wasprepared and its stability was tested at 2-8° C., 25° C. and 30° C. Theformulation was prepared by the ultracentrifugation process describedabove and contained 100 mg/ml adalimumab. Once prepared the formulationwas transferred into a syringe (0.5 ml fill with no headspace).Stability of adalimumab was assessed following storage in the pre-filledsyringe at 2-8° C., 25° C. and 30° C. for up to 26 weeks by visualassessment, SEC (assessment of high molecular weight species (HMWS) andlow molecular weight species (LMWS)) and IEX-HPLC (assessment ofdeamidated species, oxidized species and other impurities). Thestability of the formulation was compared to that of the marketedadalimumab product (Humira®, 100 mg/ml) (Formulation C). In addition, toallow further comparison the stability of the formulation was comparedto a composition that is identical to that of the commercial Humira®(100 mg/ml) product in terms of excipients and pH, but comprises thesame adalimumab active ingredient as that used in the formulationsaccording to the invention (Formulation D). The stability of allformulations was tested in a pre-filled syringe (0.5 ml fill). Thecompositions of the formulations tested are shown in Table 6.

The results are shown in Table 7 (2-8° C.), Table 8 (25° C.) and Table 9(30° C.). The starting impurity values of the commercial Humira® (100mg/ml) product (Formulation C) were slightly different from thoseobserved in the product of identical composition prepared using the sameadalimumab active ingredient as that used in the formulations accordingto the invention (Formulation D). However, the subsequent trends in theimpurity increase was comparable between the two formulations. Theformulation according to the invention (Formulation B) showed a lowerrate of HMWS formation compared with Formulations C and D, whilst havinga comparable chemical stability (i.e. increase in deamidated, oxidizedand other species) to that of the Formulations C and D.

TABLE 6 Compositions of the formulations according to the invention.Acetic acid Methionine Arginine Glycerol Mannitol PolysorbatePolysorbate Formulation (mM) (mM) (mM) (mM) (mM) 80 (mg/ml) 20 (mg/ml)pH B 8 30 60 130 1 5.2 C Commercial Humira ®(100 mg/ml) product D 230 15.2

TABLE 7 Stability of formulations B-D following storage at 2-8° C. forup to 26 weeks. 0 weeks 4 weeks 8 weeks 13 weeks 26 weeks Formulation BVisual assessment Pass Pass Pass Pass Pass HMWS (%) 0.38 0.37 0.39 0.400.43 LMWS (%) 1.65 1.81 1.90 1.96 1.95 Deamidated (%) 18.29 18.32 18.3418.68 18.71 Oxidised (%) 3.01 2.99 3.05 3.04 2.98 Other impurities (%)1.21 1.29 1.07 1.27 1.25 Formulation C Visual assessment Pass Pass PassPass Pass HMWS (%) 0.45 0.49 0.51 0.53 0.53 LMWS (%) 2.02 2.12 2.35 2.212.31 Deamidated (%) 16.98 16.99 17.12 17.50 17.65 Oxidised (%) 3.15 3.303.11 3.09 3.03 Other impurities (%) 1.26 1.38 1.28 1.27 1.47 FormulationD Visual assessment Pass Pass Pass Pass Pass HMWS (%) 0.40 0.45 0.450.50 0.52 LMWS (%) 1.59 1.78 1.97 1.86 2.02 Deamidated (%) 18.41 18.0218.10 18.86 18.74 Oxidised (%) 3.01 3.21 2.98 3.03 3.05 Other impurities(%) 1.21 1.35 1.19 1.17 1.24

TABLE 8 Stability of formulations B-D following storage at 25° C. for upto 26 weeks. 0 weeks 4 weeks 8 weeks 13 weeks 26 weeks Formulation BVisual assessment Pass Pass Pass Pass Pass HMWS (%) 0.38 0.43 0.54 0.560.63 LMWS (%) 1.65 2.24 2.70 3.05 4.22 Deamidated (%) 18.29 19.70 21.9226.50 32.23 Oxidised (%) 3.01 3.67 4.01 4.20 5.38 Other impurities (%)1.21 1.35 1.37 1.94 2.39 Formulation C Visual assessment Pass Pass PassPass Pass HMWS (%) 0.45 0.54 0.60 0.68 0.81 LMWS (%) 2.02 2.59 3.06 3.534.88 Deamidated (%) 16.98 19.03 21.37 25.69 31.96 Oxidised (%) 3.15 4.014.48 5.01 6.09 Other impurities (%) 1.26 1.69 1.72 2.20 2.85 FormulationD Visual assessment Pass Pass Pass Pass Pass HMWS (%) 0.40 0.55 0.620.76 1.03 LMWS (%) 1.59 2.04 2.68 2.90 3.99 Deamidated (%) 18.41 20.3122.96 27.77 34.73 Oxidised (%) 3.01 3.68 4.04 4.28 5.20 Other impurities(%) 1.21 1.45 1.58 2.07 2.64

TABLE 9 Stability of formulations B-D following storage at 30° C. for upto 26 weeks. 0 weeks 4 weeks 8 weeks 13 weeks 26 weeks Formulation BVisual assessment Pass Pass Pass Pass Pass HMWS (%) 0.38 0.48 0.54 0.560.63 LMWS (%) 1.65 2.61 3.41 4.15 6.06 Deamidated (%) 18.29 21.83 26.5433.2 43.6 Oxidised (%) 3.01 4.31 4.96 5.44 6.54 Other impurities (%)1.21 1.71 1.68 2.36 2.88 Formulation C Visual assessment Pass Pass PassPass Pass HMWS (%) 0.45 0.60 0.71 0.84 0.99 LMWS (%) 2.02 2.96 3.98 4.776.90 Deamidated (%) 16.98 21.18 25.57 32.52 42.37 Oxidised (%) 3.15 4.695.52 6.19 7.24 Other impurities (%) 1.26 2.01 2.61 3.28 3.02 FormulationD Visual assessment Pass Pass Pass Pass Pass HMWS (%) 0.40 0.62 0.761.03 1.49 LMWS (%) 1.59 2.45 3.34 3.94 5.75 Deamidated (%) 18.41 22.8027.89 35.50 46.43 Oxidised (%) 3.01 4.34 4.88 5.25 6.12 Other impurities(%) 1.21 1.79 2.49 2.65 3.83

Abbreviations

-   HMWS—High molecular weight species-   IEX-HPLC—Ion-exchange chromatography-   SEC—Size exclusion chromatography-   TFF—Tangental flow filtration

1. A liquid pharmaceutical composition comprising: (a) adalimumab; (b)arginine; (c) methionine; and (d) a C2-C6 polyol.
 2. The liquidpharmaceutical composition according to claim 1, wherein the polyol is aC2-C4 polyol, suitably glycerol.
 3. The liquid pharmaceuticalcomposition according to claim 1, wherein the composition furthercomprises a buffer system, suitably an acetate buffer system, suitablyan acetate buffer system formed without generating sodium chloride,suitably an acetate buffer system formed by basification of a quantityof acetic acid.
 4. The liquid pharmaceutical composition according toclaim 1, comprising 25 to 125 mg/ml adalimumab.
 5. The liquidpharmaceutical composition according to claim 1, wherein the compositionis free of, substantially free of, or comprises at most mM of atonicifier, suitably where the tonicifier is sodium chloride.
 6. Theliquid pharmaceutical composition according to claim 1 comprising: (a)adalimumab; (b) arginine; (c) methionine; (d) a C2-C6 polyol; (e) abuffer system; and (f) a surfactant; wherein the composition has a pHbetween 4.0 and 6.0.
 7. The liquid pharmaceutical composition accordingto claim 6 comprising: (a) adalimumab; (b) arginine; (c) methionine; (d)a C2-C4 polyol; (e) an acetate buffer system; (f) sodium chloride; and(g) a non-ionic surfactant; wherein the composition has a pH between 4.8and 5.2.
 8. The liquid pharmaceutical composition according to claim 6comprising: (a) adalimumab; (b) arginine; (c) methionine; (d) a C2-C4polyol; (e) an acetate buffer system; (f) a non-ionic surfactant;wherein the composition has a pH between 4.9 and 5.4, and thecomposition is free or substantially free of sodium chloride.
 9. Theliquid pharmaceutical composition according to claim 6 consisting of:(a) 25-125 mg/ml adalimumab; (b) 50-70 mM L-arginine; (c) 20-40 mML-methionine; (d) 100-150 mM glycerol or propylene glycol; (e) 5-10 mMacetate buffer system; (f) 20-40 mM sodium chloride; and (g) 0.5-2 mg/mlpolysorbate 20 or poloxamer 188; wherein the composition has a pHbetween 4.8 and 5.2; or consisting of: (a) 25-125 mg/ml adalimumab; (b)50-70 mM L-arginine; (c) 20-40 mM L-methionine; (d) 100-150 mM glycerolor propylene glycol; (e) 5-10 mM acetate buffer system; and (f) 0.5-2mg/ml polysorbate 20 or poloxamer 188; wherein the composition has a pHbetween 5.0 and 5.4.
 10. The liquid pharmaceutical composition accordingto claim 6 consisting of: (a) 100 mg/ml adalimumab; (b) 60 mML-arginine; (c) 30 mM L-methionine; (d) 130 mM glycerol or propyleneglycol; (e) 8 mM acetate buffer system, preferably sodium acetatebuffer; (f) 30 mM sodium chloride; and (g) 1 mg/ml polysorbate 20 orpoloxamer 188; wherein the composition has a pH of 5.0 (suitably+/−0.3); or consisting of: (a) 100 mg/ml adalimumab; (b) 60 mML-arginine; (c) 30 mM L-methionine; (d) 130 mM glycerol or propyleneglycol; (e) 8 mM of an acetate buffer system, preferably sodium acetatebuffer; and (f) 1 mg/ml polysorbate 20 or poloxamer 188; wherein thecomposition has a pH of 5.2 (suitably +/−0.3).
 11. A drug deliverydevice comprising the liquid pharmaceutical composition according toclaim
 1. 12. A method of treating a disease or disorder comprisingadministering an effective amount of the liquid pharmaceuticalcomposition of claim 1 to a mammal having the disease or disorder. 13.The method of claim 12, wherein the disease or disorder is rheumatoidarthritis, psoriatic arthritis, ankylosing spondylitis, Crohn's disease,ulcerative colitis, psoriasis, hidradenitis suppurativa, uveitis orjuvenile idiopathic arthritis.
 14. A method of manufacturing a liquidpharmaceutical composition, the method comprising mixing togetheradalimumab, arginine, methionine and a C2-C6 polyol.
 15. A solidcomposition obtainable by freeze-drying a liquid pharmaceuticalcomposition according to claim 1.